New Client Intake FormThis form takes 5 minutes on average to fill out. What is Your Name? * First Name Last Name Best Number to Reach You? * (###) ### #### What Is Your Email? * What Are Your Goals? * Do Your Goals Have A Target Date? What Is Your Current Bodyweight & Height? * What Is Your Goal Weight? (If your goal is weight related) * Do You Have Any Medial Conditions? * Do You Take Any Prescription Drugs? Do You Have Any Food Allergies? * Have You Had Any Surgeries Or Injuries Within The Past Year? * Have You Ever Worked With A Trainer or Coach? What is Your Workout Experience Level? * Newcomer < 1 Year 1 - 2 Years 2 - 5 Years 5 + Years Do You Plan On Working Out In A Gym or At Home? How Would You Describe Your Current Diet? Do You Have Any Dietary Restrictions or Preferences? * How Many Meals & Snacks Do You Typically Eat In A Day? Do You Consume Alcohol? Do You Smoke? What Challenges Or Obstacles Have You Faced In The Past Regarding Fitness? What Motivates You To Stay On Track This Time? Are There Any Specifc Areas of Your Body You Want to Focus On? Do You Have Any Additional Comments or Concerns You'd Like to Share? Thank you!
