Please complete the following as accurately and completely as possible
Tell Me More About Yourself
By learning more about your lifestyle and your habits, I can take better care of you and make sure coaching is a good fit for your goals and individual needs.
First & Last Name
Date of Birth
How Did You Hear About Me?
Current Body Weight
Ideal Body Weight
Sedentary - Sitting at the computer most of the day, or sitting at a desk.
Lightly active - Light industrial work, sales or office work that comprises light activities.
Moderately active - On your feet comprised of moderate activity (ex: Cleaning, kitchen staff, or delivering mail on foot or by bicycle.)
Very active - Heavy industrial work (iron, coal, etc.), construction work, brick mason, or farming.
Sedentary - No working out
Lightly active - Low intensity aerobics
Moderately active - High intensity aerobics or weight training
Very active - Weights 3+/week + aerobics
Extremely active - 2+ hrs/day and athletes
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