Online Coaching Client Analysis
Please complete the form below with as much detail as possible
Email *
Name *
Age *
Height in CM *
Current Weight in LBS *
Injurys or Medical conditions/food intolerances or allergies *
Specific Goals, eg. Weight loss, Muscle Gain, Athletic Performance *
Current Training Regime *
Activity Level *
Are you pregnant, suffer from PMT, Perimenopausal or Menopausal ?
*
What are your energy levels like on a daily basis? High/Low. Please give a brief explanation of your answer
*
Are you currently taking any medication? Do you have any medical conditions, such as diabetes or hypothyroidism?
*
How many hours sleep do you average per night? Do you have trouble falling asleep or staying asleep? How do you feel upon waking? (refreshed/still tired)
*
Is there anything else pertaining your health and dietary lifestyle that you feel is important or that we should be aware of?
*
CLIENT DECLARATION

I understand and acknowledge that the services provided are at all times restricted to consultation on the subject of health matters intended for general well-being and are not meant for the purposes of medical diagnosis, treatment or prescribing of medicine for any disease, or any licensed or controlled act which may constitute the practice of medicine. If you're unsure about your current health and/or well-being, please consult your GP before filling out this form. This statement is being signed voluntarily. Forged In Fitness does not accept responsibility for any illnesses or injurys that occur during your programme or thereafter.
 
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