1:1 Athletes Inquiry Questionnaire  
Information within this form is completely confidential and will only be used by Coach Christine Please be as detailed as possible. There is no judgment here, the information shared is to make sure that we have the most accurate information to steer your coaching plan in the right direction safely and efficiently. 
Email *
First and Last Name  *
Nickname 
How did you learn about TFB Training & Coaching Services? *
Required
If referred by a friend, please write who your referral was so that we can thank them! *
Phone Number - please do not include dashes or spaces *
Would you like to opt-in to texting services for motivational texts and reminders? *
Mailing address: *
Emergency Contact Name: *
Emergency Contact Phone Number: *
Date of Birth: *
Current medications (If none, please fill in n/a): *
Current state of health: *
If other, please specify - 
If currently sick or injured, please describe along with the onset: *
If yes to above, are you currently in treatment with a physician? 
Health Risks (family history, chronic illness): *
Height *
Weight (optional)
Current physical fitness routine:
Describe access to equipment either at home or at the gym (hand weights, full gym access, treadmill, etc):
If you are a runner or avid walker have you been fitted for running/walking shoes? If yes, which brand and model?
Do you have a fitness tracker or GPS watch? If yes, which one. (i.e. Fitbit, Garmin, Apple watch):
Additional information about your fitness you would like me to know:
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