Please complete this Intake Form. Upon completion you will receive next steps regarding payment and booking a Zoom meeting. Service Required Coaching (3 months) Coaching (month to month) Advising (3 months) Advising (month to month) One-off Consult Name * First Name Last Name Email * Location * Gender Height * Weight * D.O.B. * MM DD YYYY Occupation * Do you travel for work? If yes, how often? Marital Status, Kids? * Please list your life, wellness and performance ambitions. * Describe any perceived limitations to achieving your goals. * Please list any special events in the next 3-12 months (weddings, moving houses, vacations, graduations, etc.). * Describe your current training/exercise. * Describe what you do currently to facilitate recovery. * How many days per week can you commit to exercise? How many hours each session? * What do you do to relax and have fun? * Describe your morning routine. * Describe a typical work day. * Describe your evening routine. * Do you track sleep with a digital tool eg. Whoop or Oura? * Please describe your current nutritional habits. If possible, include average calories, carbs, protein and fats. If unknown, list a typical day of eating for you. * Do you have any injuries or ailments that limit your life or training? * Do you have any medical conditions I should be aware of? * Do you have any digestive related issues that I should be aware of (food allergies, food intolerances, ulcers, chronic diarrhea, IBS etc.)? * Do you smoke and/or drink? If yes, how much and how often. * Thank you - you will hear from me shortly!
