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Height

Weight

Goals / Expectations

Please be clear. Include mental, physical, spiritual, relationship, career, lifestyle goals.

Current Workout Routine

Do you tend to have a regular form of exercise or looking to begin a routine? Do you play sports/outdoors? Regular walks/cardio?

How many days a week do you want to workout in the gym?

Food Preferences / Allergies

What foods do you prefer to eat? Do you know of any food allergies? Do you enjoy cooking?

Recent Meals

Recall meals over the last week. (3-6 is great)

Daily Activities / Lifestyle

What are your hobbies? Do you tend to stay active or sedentary? Do you tend to spend more time indoors or outdoors?

Supplements / Prescriptions

What supplements do you take? What prescriptions do you take?

Current / Past Injuries

Any current injuries or past injuries. Constant or occasional pain?

Medical History / Family History

Job/Career. Your Relationship To it (like/dislike)

Stress Management Techniques / Self Development

Sleep Quality

Energy Stability Throughout Day

Confidence

My thoughts-words-actions are impeccable. I think-speak-take action in alignment with my purpose

I am growth mindset and ready to take action on my goals NOW!

Additional Information

Holistic Method Consultation Form

Schedule