Ocala, Florida
(352) 502-9052
Client consultation

Before your first session

This is how your coach builds a program around what your body can actually do. It takes about ten minutes, and there are no wrong answers.

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Everything here stays between you and your coach. It is used to make your training safe and effective, and nothing else.

Your details Step 1 of 5

Your details

The basics, plus who to call if something goes wrong during a session.

About you
Emergency contact
Your physician

Health screening

Answer honestly. A yes doesn't stop you training here. It tells your coach what to build around.

Please answer every question
Have you ever been diagnosed with any heart condition?
Has your physician recommended medically supervised physical activity?
Do you frequently experience chest pain when you perform physical activity?
Do you experience chest pain when you are not doing physical activity?
Do you lose your balance due to dizziness?
Do you ever lose consciousness?
Do you have a bone, joint, or other health problem that causes pain or limitations we should work around? For example diabetes, osteoporosis, high blood pressure, high cholesterol, arthritis, anorexia, bulimia, anemia, epilepsy, respiratory conditions, back problems.
Are you pregnant?
Have you given birth within the last 6 months?
Have you had a recent surgery?
Medication
Do you take any medications?

Your lifestyle

Sleep, stress and work shape results more than most people expect.

Day to day
Do you smoke?
How much?
Do you drink alcohol?
Roughly how many drinks a week?
Does your job require travel?
Do you have a family history of obesity?
Did you struggle with your weight as a child?
Stress level, 1 to 10
Very lowVery high
Fitness history
Exercised consistently the past 3 months?

Nutrition & exercise

No judgement on any of this. It's a starting point, not a report card.

How you eat
Rate your nutrition, 1 to 10
Very poorExcellent
Do you skip meals?
Do you eat breakfast?
Do you eat late, after 7pm?
Do you feel your energy drop during the day?
What time of day?
Do you take a multivitamin or any supplements?
How you train now

Skip this section if you're not currently active.

How often do you exercise?
If that's less than you'd like, why?
How long is a typical workout?

What you want out of this

Last section. This is the part your coach builds the program around.

How can a coach help you
Choose everything that applies
Your next 3 to 12 months

List them in order of what matters most to you.

Before you send
Please fill in the highlighted fields before continuing.
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That's everything

Thanks for taking the time. Your coach will read through this before your session, so you won't have to explain it twice.