New Client Questionnaires - Lost & Lifting

Below are both questionnaires I need filled out to individualize your nutrition and workout protocols. There’s one forum for nutrition and one for exercise. Please fill out and submit both unless we are only working together on one or the other. Once I have all of the information I need back from you, I will begin working on your programming.

*PLEASE LEAVE AS MUCH DETAIL AS POSSIBLE IN THE ANSWERS. THE MORE I CAN UNDERSTAND YOUR DAILY LIFE AND HABITS, THE MORE I CAN TAILOR THE PROTOCOLS TO YOU TO MAKE IT EASIEST AND SEAMLESS TO STICK TO.

Nutrition Questionnaire

Name

Height

Weight

Age

What do you do for work? (how many days per week, daily duties, etc)

What does your eating schedule look like on days that you work? (how many meals per day, what times of the day do you eat, what foods do you generally eat, do you eat out often, where do you eat out, etc)

What does your What does your life look like on days that you don't work? (hobbies, responsibilities, etc)eating schedule look like on days that you work? (how many meals per day, what times of the day do you eat, what foods do you generally eat, do you eat out often, where do you eat out, etc)

What does your eating schedule look like on days that you don't work? (how many meals per day, what times of the day do you eat, what foods do you generally eat, do you eat out often, where do you eat out, etc)

Do you have any restaurants that you eat at regularly? What do you normally order?

Have you tried any "diets" in the last 12 months or less?

Yes

Please explain

Have you ever tracked your food intake before? If you currently are tracking, what are your calories and/or macros at and how long have you been at these numbers?

Would you say you're more of a "planner" or "go with the flow" type of individual? (explain)

Are you an emotional eater? (explain)

What does your environment at home look like in terms of food? Do you have a lot of foods around that don't make sense for your goals that you feel will tempt you?

Do you have any non-negotiables that need to be worked into your nutrition plan? (days/events that you "won't" track, foods you dislike, a cheat day that "must" be incorportated, etc - be honest)

How often do you drink alcohol?

I don't drink

A couple times per year

No thA couple times per month Best / Pretty Tired

A couple times per week

Mostly every day

Do you smoke or use tobacco?

Yes

How often?

How much caffeine do you consume per day and through what sources? (preworkout, coffee, energy drinks, etc)

What do you feel you need the most help with inside your nutrition to be successful? (explain why)

What is the goal we ARE going to accomplish together? Be specific!

What type of coaching do you feel you need?

Tough love

Kindness & understanding

Somewhere in the middle

If you had to choose, which of the following are you most wanting to achieve? (pick the one that's the most important to you in the next 3-6 months)

Fat Loss

Muscle Gain

Training Questionnaire

Name

What is your experience with weight training? (how many years, previous programs, likes, dislikes, etc) Also, if relevant, what has your training looked like in the past 1-3 months in terms of number of days per week and type of splits being followed?

Do you have experience performing exercises with a barbell? (squat, deadlift, bench press, etc) Explain.

Do you have any previous or existing injuries I should be aware of?

Is there anything besides improving your appearance that you'd like to accomplish from your training? (be specific)

How many days per week can you commit to exercising? Be realistic please. The best plan is one that you can stick to consistently.

2-3

3-4

4-5

5-6

6-7

How long do you prefer your workouts to be?

30-45 Mins

45-60 Mins

60-75 Mins

75-90 Mins

What do you feel like you need the most help with inside your training to be successful? (explain why)

Do you have a way to track your step goal each day? (apple watch, fit bit, etc). If not, it's ok.

Is there a particular time of day that you will workout most often?