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NEW CLIENT ASSESSMENT FORM 

#builtbyd

This form lets me find out a little more about your body type, lifestyle, and mindset. It helps me understand you, so I can
personalize a plan based off YOUR needs! Everyone is different, what works for someone else may not work for you!

Come Work With Me

Please CHECK any of the following health conditions that you may currently have or have had in the past:

On a scale from 1-5, what's your knowledge towards fitness & nutrition? (5 being the most knowledge)On a scale from 1-5, what's your knowledge towards fitness & nutrition? (5 being the most knowledge)
On a scale from 1-5, how familiar are you with macros? (5 being the most knowledge)On a scale from 1-5, how familiar are you with macros? (5 being the most knowledge)
On a scale from 1-10, how serious are you about obtaining these goals? (10 being the most serious)On a scale from 1-10, how serious are you about obtaining these goals? (10 being the most serious)

Thank you! We’ll be in touch.

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