Full Name Email Age Height Current Weight Occupation Birthday Area of Residence What are your short term goals (3-12 months with me)? What do you view as a sustainable, healthy lifestyle for YOU for the next 5-10 years? What does your current exercise routine look like? Do you have knowledge of proper resistance training form and technique Have you ever worked with an online or in-person trainer before? If so, what was your regimen like (in general) with them? What is your BIGGEST DOWNFALL/STRUGGLE with creating a sustainable exercise routine that you enjoy? Where did you find my services, and what made you decide to inquire about them? How often is REALISTIC for you to work out? What stressors in your life might get in the way of your diet and training? Do you have access to a full gym? If no, what equipment do you have available, if any? What would you say is your BIGGEST DOWNFALL/STRUGGLE when it comes to sustaining proper nutrition and a healthy lifestyle long-term? Have you ever tracked your macronutrient or calorie intake before? If so, when? How familiar are you with reading nutrition labels? Do you have any dietary restrictions/allergies? Do you have the power to choose the food you eat? In the past twelve months, would you consider yourself "dieting" for fat loss more often than not? ANY medical history or health conditions? ANY current prescription or non-prescription medications? ANY previous or current injuries, aches or pains? Do you struggle with ANY of the following? Please check the box if these apply to you either OFTEN or SOMETIMES. Loss of appetite during stressful times Increase in appetite during stressful times Emotional eating Binge eating Anxiety Depression Perfectionism Loss of menstrual cycle (not due to birth control) If you struggle with any other mental-health or nutrition-related tendencies, please elaborate here: How much sleep do you get nightly? If there are any other additional concerns or questions you have that I missed, please ask here! Thank you for filling out my questionnaire! Let's Work! Facebook-f Instagram Youtube
