I. YOUR INFORMATION

Your First and Last Name *

Your date of birth *

Phone *

Email *

Please list your height: *

Please list your current weight, if known:

Please list your biological sex:

Male

Female

Please list an Emergency Contact Name: *

Emergency Contact Phone *

Emergency Contact Relationship

We want to get to know you! Please tell us a bit about your family, work, and hobbies:

VII. SLEEP & STRESS MANAGEMENT

On average, how many hours of sleep do you get per night?

How would you rate the quality of your sleep?

Given all the demands of your life, what is your typical stress level on an average day?

How do you normally cope during times of high stress?

VIII. YOUR PREFERENCES & PERSONALITY

What coaching style(s) do you think you respond best to? (Select all that may apply)

Cheerleader (someone who will hype me up and sing my praises)

Drill Instructor (someone who will push me to my limits and keep me on task)

Therapist (someone who will take time to listen and make sure I'm doing OK)

Knowing yourself, what do you need from a coach in order to be successful?

If you were training in a small group, how often would you want a coach to check in?

I would want to mostly do my own thing, but have the coach check in when necessary

I would want them to check in often, but let me get into my groove once I'm feeling confident

I would want as much attention as possible the entire time

On a scale of 1-10, how hard do you like to be pushed during your training?

When it comes to a training program, do you think you prefer variety, consistency, or a blend of both?

Variety: You like to mix things up to keep things interesting

Consistency: You like to stick with the same movements to build competence and better track your progress

A blend of both

IX. FINAL SLIDE!

Please list the size of your preferred T-shirt size:

We're looking forward to having you in! Is there anything else you would like us to know before coming in?

A QUICK DISCLAIMER

The information presented in any of our nutrition guides are solely intended for informational purposes. Any information provided should not substitute or replace professional medical advice, diagnoses, or treatments. If you have any concerns or questions about your health, you should always consult with a physician or other health-care professional.

While we are certified nutrition coaches, we are not doctors, nutritionists, or registered dietitians. We can assess and advise you on your nutritional well-being through lifestyle and dietary recommendations, but you are ultimately responsible for all decisions pertaining to your health.

Each individual’s dietary needs and restrictions are unique to the individual. By completing this questionnaire, you assume full responsibility for consulting a qualified health professional regarding health conditions or concerns, and before starting a new diet or health program. SOTA Fitness is not responsible for adverse reactions, effects, or consequences resulting from the use of any plans or suggestions herein or hereafter.

The information in our nutrition plans are provided as a courtesy and is an estimate only. Any information provided is based on the information you provide from this questionnaire and the NIH. Although we aim to provide accurate nutritional information, these figures are only estimates, and may need to be adjusted as your lifestyle changes.

I have read and understand the information presented above

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