Preferred Name
*
What name would you like to go by through our time working together? ie: If your name is Elizabeth, but you prefer Liz
First Name
Last Name
Email
*
Birthday
MM
DD
YYYY
Current Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
IG Username
Do you currently work from home?
Yes
No
If yes, do you have a designated workspace or area in your home you work?
How did you hear about me?
What made you want to reach out and work together? Why did you hire me?
What is your favorite part about our work together?
What were your original goals?
What success have you had?
What is your current morning routine? Give me a step by step breakdown of your day.
How do you spend your free time?
Do you have any other active hobbies like hiking, camping, horseback riding, yoga, Jiu Jitsu ?
How often do you like to do these things?
What is your favorite TV show or movie?
How frequently do you dine out?
0-1 times a week
2-3 times a week
3+ times a week
How do you recharge, reset, or take care of yourself?
How are you feeling with your fitness journey?
What do you want to focus on the MOST right now?
Pick your top 1-2
Fat Loss & Improving Body Composition
Nutritional Education
Building Momentum with Healthy Habits
Accountability & Perspective
Structure & A Gameplan
Mindset & Behavior Work
Progressive Programming
Building Muscle
Other
Where do you struggle to execute?
Do you have any kinks/ sticky points in your daily or weekly routine where you struggle to follow through (nights, weekends, certain days of the week)?
Where do you want to be in 90 days?
Where do you want to be in 6-12 months?
What is something specific you feel like you need help with regarding your nutrition?
What are you struggling with?
What is your daily activity level?
Very active (10k+ steps / day)
Active (7-8k steps / day)
Lightly active (4-6k steps / day)
Sedentary ( less than 3k steps / day)
Other
Do you have an activity tracker?
Apple Watch? FitBit? Garmin? Pedometer?
What do you want to focus on with your workouts and programming?
What is a training style that you enjoy?
What specific areas do you want to improve on and bring up in your physique?
What specific areas do you want to improve on with your performance ?
Any lifting goals you have like: push ups, pull ups, squat weight etc...
Do you have any current injuries/ pains when working out/ training?
Do you have access to a gym? Mostly at home workouts? Mix of both?
If you do not have access to a gym, please list all the equipment you have available to you.
Including bands, weighted balls, anything at all.
What does support in a coaching relationship look like, and feel like for you? What would make this the BEST coaching relationship you could ever have?
What's your love language? Take the quiz for free online here if unknown.
(https://www.5lovelanguages.com)
Can you tell me about your experience with past coaches or mentors you've invested in? What felt amazing? What felt disappointing, or felt off to you?
What makes you feel supported?
What should I know about you as a person that maybe you wouldn't tell someone right away upon meeting them, but you think I should know so our coaching dynamic is top notch?
Which communication style do you most prefer for check ins? Written feedback, video feedback, combo of both?
If there is anything else you would like me to know please note it here: