top of page
_edited_edi.png)
NEW CLIENT ASSESSMENT FORM
This form lets me find out a little more about your body type, lifestyle, and mindset. It helps me understand you, so I can personalize a plan based off YOUR needs! Everyone is different, what works for someone else may not work for you!
Please CHECK any of the following health conditions that you may currently have or have had in the past:
HEART PROBLEMS
DIZZY SPELLS
arthritis
high cholesterol
BONE/JOINT ISSUES
CURRENTLY PREGNANT
DIabetes
stroke
Other:
Spine/disc issues
Surgery in last 6 months
Asthma
high blood pressure
Family history:
How many days a week would you like to train?
When were you last in your best physical shape?
Preferred time to train? Morning, or evening?
What type of improvements are you looking to make throughout your body? Please be specific.
On a scale from 1-5, what's your knowledge towards fitness & nutrition? (5 being the most knowledge)
On a scale from 1-5, how familiar are you with macros? (5 being the most knowledge)
On a scale from 1-10, how serious are you about obtaining these goals? (10 being the most serious)
I have read the and agree to the Release of Liability and Agreement Declarations
Your assessment has been submitted!
An error occurred. Try again later
bottom of page