LM FIT Questionnaire
This Questionnaire will help me to help you so please provide as much information as possible.

Please complete the LM FIT Questionnaire, PAR-Q, Liability Waiver & T&Cs form.  If you have any questions please send an email to leishamulveyfit@gmail.com
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Full Name *
Email Address *
Phone Number *
Date Of Birth *
MM
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DD
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YYYY
Occupation *
Height (CM) *
Weight (KG) *
Estimated Body Fat % *
Body Fat %
Activity Markers *
Do you have a gym membership? *
If you have equipment, what specifically do you have?
E.G 8kg Kettlebell , 10kg Dumbbells, strong short resistance band ect
Do you have access to a fitness watch or smart phone that counts steps? *
Health History/ Medical conditions. Any Injuries? *
Have you ever had a coach/PT before? What was your experience if so?
What are your goals (Give as much info as possible, they can be aesthetic goals, fitness goals, mental goals) *
What have you struggled with the most when it comes to achieving your health/fitness goals? *
What is your nutrition/diet like? Please provide an example of a day of eating? *
What Is Your Training and dieting History? (Weights, running, sport, all the diets, never dieted) *
What Is your current level of fitness? *
Approximately how many hours of sleep do you get a night? *
How is the quality of your sleep? *
Lacking (I wake up more than 2 times per night)
Couldn't be better (I don't wake up at all throughout the night)
Do you take ANY nutritional supplements or vitamins? If so, which ones? *
Please list in order of priority, the fitness goals you would like to achieve in the next 3-12 months? *
Allergies/Intolerances *
Outline any obstacles  that could impede your progress towards accomplishing your goals (i.e. not training consistently, upcoming vacation, busy season at work, not following the program, allowing other responsibilities to become a priority over exercise, etc.). *
Nutrition Coaching
For me to best help you with your nutrition I need to see how and what you eat. I highly recommend you do a 3 day food diary including time stamps and send it to me, this is optional but helps me to help you.
Any Questions? *
What Next?
You will be sent an invoice via email. Then I will go through all of this information thoroughly and start creating your bespoke programming

In the meantime, please fill out the following forms.

Essential Paperwork:
https://forms.gle/iwW5spiMWmEX4DW9A


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