1:1 Coaching Questionnaire

Name

Cellular Phone

Email

What helped you make the decision to reach out?

Are you looking for nutrition coaching, fitness coaching, or both? Are you looking for nutrition coaching, fitness coaching, or both? Nutrition Coaching Fitness Coaching Both

What's Your Biggest Obstacle(s) Keeping You From Achieving Yours Goals on Your Own?

Do You Have Any Injuries/Health Conditions/ Food Restrictions That We Should Know About?

Are You Looking For just Quick Fix or a Long Term Solution? Are You Looking For just Quick Fix or a Long Term Solution? Quick Fix Long Term Solution Other

How long are you able to commit to coaching at this time? How long are you able to commit to coaching at this time? 1 Month 3 Months 6 Months or More

1-10 How Are Ready are You To Make Changes/ Sacrifices in Your Current Lifestyle to Get The Results That You Want? (10 being the most) 1-10 How Are Ready are You To Make Changes/ Sacrifices in Your Current Lifestyle to Get The Results That You Want? (10 being the most)10987654321

Why do you believe you would be a good fit for coaching with me? (Please be detailed)

What kind of investment are you able to make at this time to get lifelong results? What kind of investment are you able to make at this time to get lifelong results? I'm just looking into things; not that serious I'm unhappy with my health and ready for a change I'll do whatever it takes. I want results more than anything

Anything Else You Would Like to Add?