The Wellness Collective Questionnaire

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I am so excited you are considering The Wellness Collective to help you reach your fitness goals!

Before we get started, I need to gather some information so that I can start mapping out a plan to get you to your goals. Everyone is different, therefore there is no cookie cutter macro plan or workout routine that will work for everyone. A personalized approach is the proven best way to get results and keep them. That's always our goal!

Please fill out this questionnaire as thoroughly as possible and I will do my best to get back to you within 48 business hours. Talk soon!

Email *

What is your cellphone number?

What is your instagram handle?

To confirm, you're filling this out because you want to achieve your dream body without sacrificing the foods you love, regain energy and optimize your hormones without spending 7 days a week in the gym and doing millions of hours of cardio?

YES

No I love yoyo dieting and killing myself in the gym lol

What is your full name, age, height and current weight? *

How many days per week do you currently exercise and for what duration is each session?

What is your comfort level/experience with lifting weights?

Experienced, I feel confident in the gym!

Not very comfortable

Other:

Have you ever tracked macros before?

Yes

Other:

Clear selection

Have you ever used the MyFitnessPal app? If so, what is your username?

What does an average full day of eating look like for you? Include how many calories you eat per day/daily macro goals if you know! (If it is very different every day, just tell me what yesterday looked like)

How much water do you drink per day?

What does your work schedule look like? What is your occupation, and how long have you been doing it?

Which of the below best describes your goal working with me?

I want to lose weight and keep it off!

I want to build muscle and achieve a more 'toned' look

I want to have more energy

I want to feel better in my clothes

I want to be healthy

I want to do a competition prep

Other:

Clear selection

What area of your body would you like to improve the most? (Legs, arms, mid-section, back, etc.)

Arms

Legs

Glues

Back

All of the above

Other

Clear selection

Do you have a significant other? If so, do they support you in making this decision to hire a coach to reach your fitness goals?

I have a significant other and they are supportive!

I am single

I have a significant other and they are not supportive

Last Question! If you were to find a way to reach your dream body, optimize hormonal function, and learn how to keep your results for LIFE, making us the last coach you’ll ever need to hire - would you be willing (and able) to invest in getting the help necessary to get there?

Yes, I have the cash flow to invest in myself.

Yes, I may or may not have the cash flow, but I’m resourceful and/or have access to credit.

No, my cash flow is month-to-month and I have no access to credit.

Required

Did someone refer you to my program? If so, what is their name?

What questions do you have for me?

Send me a copy of my responses.

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