Holistic Health Coaching Questionaire

PERSONAL DETAILS

Full Name

Email Address

NUTRITIONAL DETAILS

With your current nutritional habits have you been gaining, losing or maintaining weight?

Gaining

Losing

Maintaining

How long have you been on your current nutritional plan?

Are you familiar with tracking Macros?

Yes

No

What is your current average daily caloric intake?

MEDICAL DETAILS

Do you have any injuries or physical limitations?

Are you currently taking any prescribed medication?

Do you have ongoing health issues, food allergies or intolerances?

Do you have any history of any eating disorders or extreme dietary restriction?

TRAINING DETAILS

Do you strength train?

How many hours of cardio do you perform on average per week? (Including Walking)

What days of the week are you able to train and how long for?

What sounds worse? Eating less food or performing more cardio?

How active is your job?

Where do you workout?

Gym

Home

Other

None

What are your expectations of me and my role as a coach?

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