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Tell me more about you…

Thank you for taking the time to take care of you! Please carefully and honestly complete questionnaire, as it will allow you to reflect on your current behaviour and allow me to create the right plan for you.

You are not only signing up to work with a trainer, you are getting a coach and cheerleader. Together, we will adapt and adjust the sessions to meet your needs. Congratulations on taking the first steps to building healthy habits!

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First Name

Last Name

Subject

Please write: Intake Questionnaire complete

Briefly describe your daily or weekly schedule. How much time do you think you commit to your health?

Who is your support system? How do they motivate you?

Describe your previous experience(s) with diets and/or work out plans? Did anything stick with you? Why or why not?

What do you think is my role in your journey?

How would you like to be held accountable? What would work for you to keep you on track?

Tell me about a time in your life that you felt confident and strong:

If you have a day when you don’t want to work out or want to quit, what can I say to you that will have you show up regardless of how you are feeling?

What is ONE primary goal you would like to focus on?

How will you know when you are getting results?

If you had a trainer in the past, what key factors helped motivate you with their style of training? What did not support you?