Fitness & Nutrition w/ VIP Training Questionaire 1:1 Coaching Preliminary Questionnaire Leave this field blank First Name Last Name Email Age Height (in) Phone Weight(lbs) What Are Your Goals? Select all Weight Loss Fat Loss Healthy Food Habits Lifestyle Change Strength Building Muscle Building Other Current Lifting Regimen I Lift Daily I Lift Often I Seldom Lift I Never Lift Current Cardio Regimen I Do Cardio Daily I Do Cardio Often I Seldom Do Cardio I Never Do Cardio Nutrition Regimen I Always Eat Healthy I Eat Healthy More Often than Not I Seldom Eat Often I Don't Eat Healthy Do You Have Any Injuries or Health Conditions? (Be Specific) What is Your Dieting/Coaching History / Type of Diets You've Done / How many Times have you dieted for Weight Lost or Fat Loss over the last 5 Years? Type of Diets You've Done in the Past How Many Times Have You Dieted For Weight Loss or Fat Loss over the last 5 Years? What Is Your Daily Schedule Like? Why Do You Want to Work With Us?
