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New Client Questionnaire

General Info

First Name

*

Last Name

*

Phone Number

*

Email Address

*

Height

*

Body Weight

*

Age

*

Current Occupation

*

Experience & Goals

What is your primary goal right now?

*

What is your primary goal right now?

A

Fat Loss

B

Muscle Gain

C

Body Recomposition

D

Other

Please describe your goal in detail.

*

(What do you want to achieve? Include timeline, target areas, or anything specific)

How many years have you weight trained?

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Training & Cardio

Describe your current training routine (Frequency, workout type, struggles)

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What type of cardio do you enjoy? (Select all that apply)

*

What type of cardio do you enjoy? (Select all that apply)

Treadmill/walking

Jogging

Elliptical

HIIT

Other

Are there any exercises I should avoid in your workout program?

*

Injury History & Physical Limitations

Do you have any injuries, chronic pains, or physical limitations?

*

Do any joints or movement patterns cause discomfort during exercise?

*

Do you have access to a full gym?

*

(If no - please describe what equipment you have)

How many days per week are you currently training?

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How many days per week are you willing to train?

*

Nutrition & Lifestyle

Do you know your current caloric intake/macro split?

*

Do you know what your maintenance calories are?

*

(If no, we'll determine this together)

Are you currently:

*

Are you currently:

A

Gaining weight

B

Losing weight

C

Maintaining

How would you describe your daily activity outside the gym?

*

How would you describe your daily activity outside the gym?

A

Very active (on feet all day)

B

Moderately active

C

Sedentary (desk job)

D

Other

Estimate your body fat percentage

*

(Refer to body fat estimation chart)

https://storage.tally.so/4279fc9c-b135-42a6-980e-075f1763ae1a/Body-fat-estimation-chart.png

How many untracked meals do you have per week?

*

List any supplements and/or prescribed medications you're taking:

*

Women Only

Do you have a regular menstrual cycle?

*

Are you currently on birth control?

*

If irregular, or there are any other details, please explain:

*

Lifestyle Check-In

Sleep Quality:

*

On a scale of 1-10, how would you rate your sleep?

Stress Level:

*

On a scale of 1-10, how would you describe your stress?

Please provide your shipping info for your welcome gift!

Street Address

*

City

*

State/Province

*

Country

*

Postal/Zip Code

*