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Client Intake Form — Elevate Coaching
Thank you for signing up! Before I design your personalized training and nutrition plan, please complete this short intake form. Your answers help me create a program that fits your life, schedule, experience, and goals.
Full Name
*
Email Address
*
Age
*
Height (cm)
Weight (kg)
*
What is your primary goal?
*
What is your primary goal?
A
Fat loss
B
Muscle gain
C
Improve fitness
D
Pain-free training / injury support
E
Nutrition coaching only
F
Other
How would you describe your training experience?
*
How would you describe your training experience?
A
Beginner
B
Intermediate
C
Advanced
What does a typical week look like for you? When are you available to train?
*
Which equipment do you currently have?
*
Which equipment do you currently have?
Do you have any injuries, pain, or limitations I should know about?
If none, type “None”.
*
Which best describes your nutrition preferences?
*
Which best describes your nutrition preferences?
A
No preference
B
High protein
C
Vegetarian
D
Vegan
E
Low carb
F
Mediterranean style
G
Gluten-free
H
Other
Any foods you dislike or want to avoid?
*
Is there anything else you'd like me to know before I design your plan?
*
Submit