COACHING QUESTIONNAIRE


*****NEW CLIENTS WILL BE TAKEN ON WEEK OF JULY 21 ! FILL OUT FORM BELOW AND I WILL SCHEDULE YOU FOR AFTER THAT DATE*****


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Name (first and last) *
Email  *
Phone number *
What is your instagram handle? 
Best way to reach you to set up your assessment ( I will get back to you as soon as possible)  *
How did you hear about LIFTWYSE? *
What do you do for a living? *
What are your hobbies? *
What is your schedule of availability Monday-Sunday? *
What are your fitness/nutrition goals? *
Tell me about your current exercise routine. *
Tell me a little about your current diet/ daily food drink and supplements you are taking. *
Do you have any allergies/medical history that  I should be aware of? *
Choose all that apply to you (so I can ensure you're in the best hands - I also work with registered dieticians) *
Required
Anything else you'd like to share about yourself ! 
Join our fb group where I post education, challenges, and we have an awesome community! Also, follow me on instagram!
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