New Client Application Name * First Name Last Name Email * Contact Number (###) ### #### Age Height Current weight What are your fitness goals? Improve Health and Fitness Build Muscle Lose Body Fat Tone Up Is your job active or sedentary? What is the main thing holding you back from your fitness goals? What foods do you dislike? What foods/meals do you enjoy? Do you own a smart watch or have a phone with a pedometer? What are your average daily steps for the last week? Do you drink alcohol? How often? Have you tried nutritional plans before? Yes No Do you have any allergies? Have you suffered from any injuries before? How many hours of sleep do you get per night, on average? Are you currently on any medication? Do you have access to any fitness equipment? Thank you!
