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Question 1 of 33
Personal Information
Full Name
Personal Information
Date of Birth
Personal Information
Phone Number
Personal Information
Personal Information
Occupation
Personal Information
Emergency Contact (Name & Phone)
Goals & Motivation
What are your main fitness goals?
Goals & Motivation
Why are these goals important to you?
Goals & Motivation
What's your biggest struggle when it comes to reaching your goals?
Goals & Motivation
How soon would you like to achieve these results?
Training Background
Have you trained consistently before?
Training Background
How many days per week do you currently exercise?
Training Background
What types of training have you done in the past?
Training Background
Do you have experience with compound lifts?
Training Background
What do you enjoy most about training?
Health & Injury History
Do you have any current or past injuries?
Health & Injury History
Any medical conditions I should be aware of?
Health & Injury History
Are you currently taking any medication?
Health & Injury History
Have you been cleared by a physician for physical activity?
Nutrition & Lifestyle
How would you describe your current eating habits?
Nutrition & Lifestyle
Do you track calories or macros?
Nutrition & Lifestyle
Do you have any dietary restrictions or allergies?
Nutrition & Lifestyle
Hours of sleep per night:
Nutrition & Lifestyle
How would you rate your stress levels (1–10)?
Readiness for Structure
How open are you to eventually tracking food intake if needed? (0–10)
Readiness for Structure
How open are you to learning how to weigh or measure portions? (0–10)
Readiness for Structure
How willing are you to make gradual changes to your eating habits? (0–10)
Lifestyle Habits
How open are you to improving your sleep routines if needed? (0–10)
Lifestyle Habits
How willing are you to make adjustments to your daily schedule for training consistency? (0–10)
Lifestyle Habits
How committed are you to following a structured plan long-term? (0–10)
Accountability & Support
Which accountability methods work best for you?
Accountability & Support
Do you prefer a direct coaching style or a more gentle approach?
Media & Content Consent
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