Email

Gender

Age

Height

Weight

specify pounds or kilos

Body Fat Percentage

Do you have access to a gym? If not, what do you have access to?

Describe in detail your exercise history and your current exercise routine.

Do you have any current or pre-existing injuries? Explain.

Describe in detail your nutrition history as well as your current nutrition habits.

Are you taking any medications and/or supplements? If so, what are you taking, how much are you taking, and how often are you taking it?

Describe your sleep. How is the quality, the quantity?

Describe your stress levels.

Describe your specific goals.

Be as specific as possible. For example, "I want to lose 10 pounds of fat" rather than "I want to lose weight."

Why are these goals important to you?

What are you expecting out of a client-to-coach relationship?

How many days per week can you workout?

What days of the week work best for you to workout?

On a scale of 1 to 10, how committed are you to reaching your goals?

1 = If I reach my goal in 3 months, or 5 years, it really doesn't matter. I'd rather spend my time and energy on other things in life even if it means putting my health and fitness on the backburner. 10 = I will do anything and everything to reach my goals.

Please provide any additional information you think we need to know.