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Client Intake
Please give me as much detailed information as possible.
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What is your name?
Your answer
Age?
Your answer
Height & Weight
Your answer
What is your current strength training routine?
Your answer
Do you do any cardio? If so, how many days a week and for what duration?
Your answer
What is your experience with tracking food and/or using a food scale? (calories, macros, etc.)
I have no experience.
I have some experience.
I have lots of experience (6+ months).
Clear selection
What is your current caloric intake? (list current macros if applicable)
Your answer
How many meals do you eat per day?
Your answer
How many meals best fit into your current schedule/routine?
Your answer
Are there any health/medical conditions or medications I should know about that might affect your results?
Your answer
What are your current goals? (check all that apply)
Fat loss.
Muscle gain.
Increase strength.
Improve dietary habits.
Improve general lifestyle.
Prepare for bodybuilding competition.
Non-competition physique transformation.
On a scale of 1-10, what is your level of commitment to your goals?
Zero Commitment
1
2
3
4
5
6
7
8
9
10
100% Committed
Clear selection
As a coach, what are the things you are most hopeful that I can help you with?
Your answer
Have you worked with a coach before? If so, why did you discontinue their services?
Your answer
Please provide any additional information you might find helpful.
Your answer
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