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New Athlete Questionnaire
Please answer these questions for the best of your abilities
* Indicates required question
Email
*
Record my email address with my response
Name
*
Your answer
Date of birth
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MM
/
DD
/
YYYY
Email
*
Your answer
Phone number
Your answer
Height and weight
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Your answer
Do you have any injuries or medical conditions
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Your answer
Do you play any sports or regular physical activities? How active are you on a weekly basis?
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Your answer
Have you trained in the gym before? If so, please explain what kind of training - strength, speed, cardio, yoga, crossfit, etc
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Your answer
Do you enjoy working out and training? Please explain what exercises or styles of training have worked for you in the past
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Your answer
How many days per week can you make time for training? Which days work best?
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Your answer
What facilities/equipment do you have access to? Gym, home, weights, machines, equipment, field space, etc.
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Your answer
What is the primary goal that you want to accomplish in the next 90 days? Be as specific as possible
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Your answer
What is a secondary goal that you want to accomplish in the next 90 days? Be as specific as possible
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Your answer
How important is it to you that you accomplish your primary goal?
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Not important
1
2
3
4
5
Very important
How important is it to you that you accomplish your secondary goal?
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Not important
1
2
3
4
5
Very important
Will you work hard to achieve your goals?
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Not likely
1
2
3
4
5
Very likely
Describe a typical day of eating. Breakdown of breakfast, lunch, dinner, snacks, alcohol.
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Your answer
Are you satisfied with the quality of your nutrition?
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Very dissatisfied
1
2
3
4
5
Completely satisfied
What would you like to change about your nutrition and dietary intake?
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Your answer
How much stress do you feel on a day to day basis (work, family, money, physical stress, etc)?
*
Minimal to no stress
1
2
3
4
5
Very stressed and drained
What causes you the most stress? This can be physical, mental, or emotional
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Your answer
When do you typically go to bed and wake up? Total hours of sleep a night?
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Your answer
How satisfied are you with the quality of your sleep?
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Your answer
What is something that you would like to change about your sleep and recovery habits?
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Your answer
How can I be of the most help to you? What role do you want me to play in helping you reach your goals?
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Your answer
Is there anything else that you would like to share with me?
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Your answer
Can I send you training, nutrition, and other healthy living tips in the form of an email newsletter?
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Yes
No
If you are truly committed to changing your fitness, nutrition, and lifestyle habits in order to accomplish your goals and become the best version of yourself, type your name below
*
Your answer
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