NEW CLIENT QUESTIONNAIRE

NEW CLIENT QUESTIONNAIRE

Let’s get going…

The answers to the following questions will help me help YOU!

The more info.. the better.

It’s a Go Hard or Go Home moment!  🙂

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    • HEALTH INFORMATION

    • LIFESTYLE INFORMATION

    • Provide a rating out of 10 and describe an average night for you.
    • Describe your day - where you feel the best, and where you feel like you crash.
    • How much & how often?
    • Why? Are these Doctor prescribed?
    • or what I like to call 'Balanced Chi Time'? "relax"
    • And other liquids?

    • NUTRITION INFORMATION

    • The more information the better.
    • This will be noted at the top of your first meal plan
    • What type of food was it?
    • Provide details

    • TRAINING INFORMATION

    • Provide examples of what you do

    • Many thanks...
      Luke Koek - Energizerman
    • This field is for validation purposes and should be left unchanged.
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