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New Client Form
Just a reminder that I am not currently taking 1:1 clients at the moment. As spots open up I will be reaching out to people in chronological order assuming we are a good fit :)

Filling out this form will automatically add you to my waiting list. If you have any questions I have a podcast linked below that explains everything...or you can always reach out via email or DM.

https://open.spotify.com/episode/0JEkvNdumOawWlXlUuPAmu?si=Y1KFBkWGRGSec0cyplKbeA

Thanks!

-JL
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Email *
1) First and Last Name *
2) Sex *
3) Age *
4) Height *
5) Weight as of today
6) Average hours of sleep per night? *
7) Rate your sleep quality *
Toss and turn every hour. See every hour on the clock
Sleep straight through the night rarely waking up
8) What is your PRIMARY goal? *
9) What is your SECONDARY goal? *
10) What is LEAST important? *
11) What are your short term goals - What do you want to achieve in the next 4-6 weeks?
12) What are your long term goals? *
13) Roughly how many steps do you get daily? *
14) Are you currently training consistently? *
15) How many days per week do you currently train? *
16) How many days per week do you WANT to weight train? *
17) What is your ideal duration for a workout? *
18) What type of weight training programs have you used in the past? *
Required
19) Currently, what does your week of workouts look like? *
21) If you have any diagnosed health problems, please list them here. *
22) If you are on any medications, please list them here. *
23) Do you currently have any injuries? *
24) How would you describe your level of activity at work? *
25) What do you do for a living? *
26) Socially, describe your average weekdays *
Happy hour? Movies? Netflix & chill?
27) What do your weekends look like? *
28) Describe your alcohol consumption. *
Amount, frequency, type of drinks you enjoy etc
29) Do you prepare the majority of your meals? *
30) How many meals do you typically eat each day? *
31) Are you currently following a specific diet or nutrition plan? *
32) If so, what is the name of your diet or could you please describe it for me.
33) What is your average daily caloric intake? (If you know) *
34) Have you ever counted calories/macros before? If so, what was your experience like? *
35) If you answered NO to #35: Are you familiar with what macros are? (serious question <3)
Clear selection
36) 1-10 How would you rate your knowledge of nutrition *
I'm just good at eating
I count macros in my sleep
37) Select all that would be considered a high quality source of protein--this is NOT a test...I genuinely want to meet you where you're at so we can learn together <3 *
Required
38) How's your relationship with the scale? Do you ever weigh yourself? *
39) Have you ever had another online coach? What were some likes/dislikes? How was that experience? *
40) Have you ever had an eating disorder or thought you may have an eating disorder? *
41) Do you have any food allergies? If so, what are they? *
42) Would you rather: *
43) Please elaborate on your answer to #42 *
44) Favorite book(s)
45) Favorite movie character
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