New Client Outreach Name * First Name Last Name Email * What are your nutrition goals? (check all that apply) Lose body fat Increase muscle Body recomposition Reverse diet Improve relationship with food Increase energy and vitality Enhance education on nutrition and exercise Improve athletic performance Prepare for an athletic event (e.g., a race or competition) Better manage my health Better manage a chronic disease or other ongoing set of symptoms If you were to feel and look exactly as you’d prefer in 6 months, what would that look like for you? How might your life be different or have changed? What challenges prevent you from achieving your goals or that ideal view of yourself today? What do you feel that your current diet looks like now? Select One In a deficit or not eating enough In a surplus or eating too much Maintaining or eating just the right amount Not tracking calories, macros, or any intake For roughly, how long have you been eating this way? Select one 0 - 3 months 4 - 6 months 7 - 9 months 9 - 12 months 12+ months What best describes you? Select one I have my workout and exercise routine down and need nutrition guidance I have my nutrition down and need workout or exercise guidance I want help on nutrition and exercise Are there any medical conditions, illnesses, injuries, or other health-related concerns that we should be aware of? These may or may not relate to your goals. Are you ready and willing to invest in yourself emotionally and financially by way of what we might do together? Select one I’m ready now I’m thinking about it and trying to get more information I’m not ready now but may might be in the future Coaching is a time and financial commitment. Will there be others involved in your decision-making? Select One No Yes Is there anything else that you think would be helpful for me to know ahead of our 20-minute discussion? Thank you for completing the questionnaire. I will be reaching out to schedule a time for our complimentary chat within the next 24 h. -Julia
