New Client Form

/New Client Form
New Client Form 2017-03-31T01:51:37+00:00

New Client Form

To better serve our clients, we need to know a little more information. Please fill out the form below.

Personal Information
Contact Information

What is the best way to reach you?


How did you hear about us?

What is your goal?

What would you like to specifically change or improve with your physique or figure?

Why is this important?

Why now?

Do you have a time frame in mind for achieving these goals?

Number of years at present weight?

Have you ever participated in a weight-loss or weight-gain program?

Have you ever worked with a fitness professional or personal trainer?

Have you ever participated in a structured resistance training program?

Are you currently working out?

Are you currently, or have you ever taken, a multi-vitamin or any other supplements?

How many times per day do you usually eat, including snacks?

Do you feel your energy drops throughout your day?

What has stopped you in the past from committing to losing weight/getting into better shape?

If you were to start an exercise/diet program, would there be anyone else who needs to be involved in making this decision?

Which nutritionist are you working with if applicable?