New Client Questionnaire Full Name * First Name Last Name How did you hear about us? * Referral Google Search Social Media Yelp If other, please specify: Social Media: E.g. Instagram, Tiktok, Facebook, Twitter Date of Birth: * Height: * Current Weight: * Occupation: * Fitness Level: * Sedentary, Lightly Active, Moderately Active, Very Active Do you have any pre-existing medical conditions or injuries we should be aware of? * YES / NO. If yes, please specify: Are you currently taking any medications that might affect your ability to engage in physical exercise? * YES / NO. If yes, please specify: Do you have any medical conditions or health concerns that might impact your dietary or training choices? (e.g., diabetes, high blood pressure, allergies) * YES / NO. If yes, please specify: Do you have any known food allergies or intolerances? * YES / NO. If yes, please specify: GOALS AND OBJECTIVES What is your goal weight? * What are your primary nutrition goals? * Weight Loss, Muscle Gain, Improved Energy, Overall Health What are your primary training goals? * Strength, Muscle Gain, Endurance, Flexibility, Other Are there any areas of your physique you are particularly focused on? * YES / NO. If yes, please specify: Are there any specific events or deadlines you are aiming to achieve your goals by? * YES / NO. If yes, please specify: PHYSICAL ACTIVITY AND TRAINING Have you participated in any exercise programs or sports in the past? * YES / NO. If yes, please specify: Have you worked with a personal trainer or fitness professional before? * YES / NO. If yes, please specify: Are there any particular exercises or movements you are uncomfortable with or having difficulty performing? * YES / NO. If yes, please specify: Are there any fitness activities you particularly enjoy or dislike? * YES / NO. If yes, please specify: Do you currently have access to a gym or fitness equipment? * YES / NO. If yes, please specify: Currently, how many times do you workout per week? * On average, how long is each workout session? * Taking into account your school or work commitments, how many days a week can you realistically commit to working out? * 1-2 days, 3-4 days, 5-6 days NUTRITION How many meals do you typically consume in a day? * 1 meal, 2 meals, 3 meals, 4 meals How many times do you snack throughout the day? What are your usual meal times? Describe a typical day: Do you consume alcohol? * YES / NO. If yes, please specify: Do you smoke? * YES / NO. If yes, please specify: How much water do you typically drink in a day? * Do you consume other beverages regularly? (e.g., soda, coffee, tea) YES / NO. If yes, please specify: How often do you eat out or order takeout? Taking into account your school or work commitments, how many meals do you prefer to consume daily? Have you previously attempted a diet to either gain or lose weight? * YES / NO. If yes, please specify: Are you familiar with tracking calories or macros? * YES / NO. If yes, please specify: Have you engaged in meal prepping before? * YES / NO. If yes, when and for how long: FOOD PREFERENCES AND DISLIKES Do you follow any specific dietary restrictions (e.g., vegetarian, vegan, gluten-free)? * YES / NO. If yes, please specify: Are you open to trying new foods and recipes? YES / NO What are your preferred sources of carbohydrates? * Quinoa Potatoes Oats Rice Whole grain pasta Fresh fruit Are there any types of carbohydrates you avoid? YES / NO. If yes, please specify: Do you have any fruit preferences or dislikes? YES / NO. If yes, please specify: What are your preferred sources of protein? * Tofu Tempeh Chicken Turkey Beef Fish Eggs Greek yogurt (plan, low-fat) Are there any types of protein you avoid? YES / NO. If yes, please specify: What are your preferred sources of fat? * Olive oil Avocados Nuts (e.g. almonds, walnuts, cashews) Seeds (e.g. flaxseeds, chia seeds, hemp seeds) Coconut oil Are there any types of fat you avoid? YES / NO. If yes, please specify: Is there any additional information you would like to share about your eating habits, preferences, training routines, or goals that might be helpful for creating a personalized nutrition and training plan? Thank you!
