Name: *

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What is your primary goal right now?: *

Why is this important to you at this point in your life?: *

How will your life be different once you achieve it?:

On a scale of 1–10, how ready are you to commit to making changes?: *

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How many days per week can you realistically train?: *

What might get in the way of consistency?:

Describe a typical weekday (work, meals, activity, stress):

What does a busy or difficult week look like for you?:

How many hours of sleep do you usually get per night?:

How would you describe your energy levels most days?:

Have you followed a structured training or nutrition plan before?:

What has worked well in the past?:

What has stopped working or caused you to fall off track?:

What made you decide to look for coaching right now?: *

Is there anything else you'd like me to know about you or your situation?:

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