New Client Questionnaire

Name *

First

Last

Checkboxes

Height *

Weight *

Age *

Email *

What are your fitness goals? If doing a competition prep please include date, name and location of the show. *

What type of cardio do you mostly do? How long and how often per week? *

What time do you wake? What time do you go to bed? When do you weight train? *

Where do you train? If at home, what equipment do you have? (You can skip this if you didn’t purchase workout plans)

Provide a sample of food intake for an average day. Include when you wake up and when is your first meal of the day? *

List any foods that you avoid such as meat, dairy, gluten etc. *

List any food allergies and current supplements, including vitamins *

List daily beverage intake, including alcohol, and how much of all beverages is consumed *

How did you hear about me? *

Phone