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New Client Inquiry
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What is your name?
Your answer
How old are you?
Your answer
What is your gender?
Male
Female
Other
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What are your fitness goals?
Your answer
Why are these goals important to you?
Your answer
On a scale of 1-10 how committed do you feel towards achieving your goals?
1
2
3
4
5
6
7
8
9
10
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What does your current exercise routine look like?
Your answer
Do you prefer gym workouts, or home workouts?
Gym
Home
Both
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How active are you?
Sedentary
Lightly active
Active
Very active
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Do you currently have any injuries, pain, or limitations?
Your answer
How would you describe your diet?
Poor
Average
Good
Excellent
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How confident do you feel in your knowledge of nutrition?
Poor
Average
Good
Excellent
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Do you currently track calories or macros?
Yes
No
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On average, how many hours of sleep do you get?
Less than 6
6
7
8
More than 8
Clear selection
What are your biggest obstacles that would prevent you from achieving your goals?
Your answer
Do you have a support system for your fitness goals?
Yes
No
Clear selection
What would make this coaching experience a success for you?
Your answer
Would you prefer working with a male or female coach?
Male
Female
No preference
Clear selection
What is the best phone number to reach you at?
Your answer
What is the best email to reach you at?
Your answer
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