2023 Online Coaching Clients
Sign in to Google to save your progress. Learn more
Email *
What is your first and last name? *
What is your height *
What is your weight? *
How old are you? *
How Active would you say you are? One being not very (desk job, no exercise), five being extremely (Physical job, overtime, etc.) *
Desk job, not active, etc.
Construction worker, Athlete
What is your phone number? *
List any supplements you are currently taking and prescribed medications (Birth control included) *
Do you have any food allergies?
How many times a day do you think you can realistically eat? (Absolute bare minimum is three times, if you cannot do that, you can stop here) *
What time of day do you normally train?  *
In your own words, what is your goal? *
Whats your favorite quote or joke? *
What has kept you from getting to your goals? *
Have you tried dieting on your own recently and failed? What did the diet look like?  *
What are your lifestyle stressors?  (relationships, work, emotions) *
What do you need me to do to help you reach your goals? *
What have you tried in the past, what worked? What didn't? *
What else do you think I should know about you? *
If you have recent front/back pictures or Bloodwork EMAIL THEM TO Chrismtraining@gmail.com *
Required
How'd you hear about me? (THIS IS REALLY HELPFUL!!)
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy