Prospective Client Questionnaire

Please fill out the questions below as detailed as possible!

Email *

What is your name? *

Phone *

Please leave me your social media *

Instagram Handle

Please tell me a bit about yourself and your current fitness-related goals. What would you like to accomplish with me as your coach? *

What is your current Age? *

What is your Current Weight?

What is your Current Height?

What is your current workout split and cardio schedule like? In this, please elaborate on where you work out (gym, at home, etc). Include equipment available as well. *

If your weekly workout routine is not established, how many times a week do you realistically believe you can commit to working out? *

What is your current nutrition plan? If you have no specific plan, give me a brief overview of what a day of eating looks like for you. Please include any supplements being used. *

Please list any supplements you are taking or have taken *

What do you do for work? What is your work schedule like? Please include times when you wake up, work schedule, and bedtime *

Food allergies? What food do you not like eating? *

What foods do you enjoy eating? *

Give me a detailed paragraph of medical conditions/health issues. Please include any guidance from MD related to nutrition and exercise. *

*For women only. When was your last menstrual cycle? *

*For competitors. What division do you compete in? When was the date of your last show? *

Prospective Client Questionnaire

Testimonials