New Athlete Questionnaire
Please answer these questions for the best of your abilities
Email *
Name *
Date of birth *
MM
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DD
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YYYY
Email *
Phone number
Height and weight *
Do you have any injuries or medical conditions *
Do you play any sports or regular physical activities? How active are you on a weekly basis? *
Have you trained in the gym before? If so, please explain what kind of training - strength, speed, cardio, yoga, crossfit, etc *
Do you enjoy working out and training? Please explain what exercises or styles of training have worked for you in the past *
How many days per week can you make time for training? Which days work best? *
What facilities/equipment do you have access to? Gym, home, weights, machines, equipment, field space, etc.

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What is the primary goal that you want to accomplish in the next 90 days? Be as specific as possible
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What is a secondary goal that you want to accomplish in the next 90 days? Be as specific as possible
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How important is it to you that you accomplish your primary goal?
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Not important
Very important
How important is it to you that you accomplish your secondary goal?
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Not important
Very important
Will you work hard to achieve your goals?
 *
Not likely
Very likely
Describe a typical day of eating. Breakdown of breakfast, lunch, dinner, snacks, alcohol. *
Are you satisfied with the quality of your nutrition? *
Very dissatisfied
Completely satisfied
What would you like to change about your nutrition and dietary intake?
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How much stress do you feel on a day to day basis (work, family, money, physical stress, etc)?
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Minimal to no stress
Very stressed and drained
What causes you the most stress? This can be physical, mental, or emotional
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When do you typically go to bed and wake up? Total hours of sleep a night?
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How satisfied are you with the quality of your sleep?
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What is something that you would like to change about your sleep and recovery habits?
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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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Is there anything else that you would like to share with me?
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Can I send you training, nutrition, and other healthy living tips in the form of an email newsletter?
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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
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