MP + TP Questionnaire
Coaching with Dominique!
First and Last Name *
Your answer
Email *
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Phone number *
Your answer
What do you need? *
Age (Include your birthday) *
Your answer
Height *
Your answer
Current Weight *
Your answer
Goal weight (if applicable)
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I am looking to: *
Describe your daily activities *
What workouts do you currently do? *
Please describe the type of workouts, duration, and how often you workout per week.
Your answer
What type of workouts do you ENJOY the most? *
What workout are you most interested in trying? Are you just a weightlifter? Do you want all cardio? Are you more of a dancing queen/king? Do you love group fitness classes? How about low impact? Or maybe a mix of everything? Describe what kind of workout you would love to do.
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Is there a specific area of your body that you'd like to focus on?
Your answer
What is your preferred duration of workouts? *
I will be doing my workouts... *
I will have access to the following (Check all that apply) *
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How many days per week can you workout? *
Your answer
For your meal plan, would you prefer: *
If you know how many calories/macros you're intaking each day, please share below *
Your answer
What are your eating habits? (Be VERY specific) *
Please describe what a typical day of eating looks like (be VERY specific). What weaknesses or struggles do you currently face? What specifically do you need help with?
Your answer
If you are currently following a meal plan, anything you would like to stay the same or change?
Your answer
Which of the following best describes the meal plan you're looking for (choose 1-2 that apply) *
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What type of Carbs do you like? Don't like? *
Your answer
What type of Veggies do you like? Don't like? *
Your answer
What type of Fruits do you like? Don't like? *
Your answer
What type of Protein do you like? Don't like? *
Your answer
What type of drinks do you like? Don't like? *
Your answer
What type of snacks do you like? Don't like? *
Your answer
What type of Fat do you like? Don't like? *
Your answer
Would you like to have protein bars and/or protein powder? If so, what brands and types do you like? *
Your answer
If you had one refeed meal (aka "cheat meal") what would you food of choice be? *
Your answer
When obstacles arise, what will be your WHY to keep going and not give up? What's your reason for beginning and enduring this journey? *
Your answer
How would you like to be held accountable? *
Your answer
Any other information that would help me out :) *
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Any questions? *
Your answer
What's your $$ budget for 1 on 1 coaching? (Name your preferred price) *
Your answer
After looking over your plan, please schedule an appointment for us to chat! https://fitfoodielifecoaching.as.me/ *
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