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    Online 1:1 Nutrition Coaching Questionnaire

    Uploaded by

    rebecca feingold
    Attached is my Coaching Application, when you have finished the application please email it to me @ rfeingold1996@gmail.com

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Online 1:1 Nutrition Coaching Questionnaire

    Uploaded by

    rebecca feingold
    145 views3 pages
    Attached is my Coaching Application, when you have finished the application please email it to me @ rfeingold1996@gmail.com

    Original Title

    1-1 COACH APP

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    © © All Rights Reserved

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    Attached is my Coaching Application, when you have finished the application please email it to me @ rfeingold1996@gmail.com

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    145 views3 pages

    Online 1:1 Nutrition Coaching Questionnaire

    Uploaded by

    rebecca feingold
    Attached is my Coaching Application, when you have finished the application please email it to me @ rfeingold1996@gmail.com

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
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    Online 1:1 Nutrition Coaching questionnaire

     
    Hi girly! Welcome to my online coaching page. I am here today because
    I know what it is like not to feel confident all the time, losing
    motivation, or having extremely bad body image. BUT I have a passion
    to change people's lives both physically and mentally. I want to help
    you achieve your goals! I believe in living a balanced lifestyle. 

    There is NO quick fix, it takes time, patience, dedication and


    consistency. SO, what are you waiting for? Are you ready to achieve
    all your health and fitness goals while unconditionally loving your
    body? Let me help you achieve that TODAY!
    1.) Age, Height, and Weight:

    _________________________

    2.) Email and Phone Number:


    ___________________________

    3.) Have you ever tracked your caloric intake? If yes, have you ever
    tracked macros or followed a meal plan? Below, please describe your
    current eating habits at the best of your ability.

    There’s days I would track my calorie intake, but once there’s a


    day I eat something unhealthy, I stop tracking it. I like all kinds
    of foods, I love salads, oatmeal, avocado toast but once there’s
    pizza or fast food I’d eat that too. 

    4.) What are your current health and fitness goals? Describe as best
    as possible.

    5.)If you do not follow any sort of plan, would you be willing to
    make a commitment to one?

    6.) Where would you like to see yourself in 6 months-1 year from now?

    7.) How would you describe your current training?


    8.) How would you describe your current daily routine? Do you work
    full or part time? Are you more active or sedentary during the day?
    Please describe to the best of your ability.

    9.) How many days a week do you workout? How long do you workout for?

    10.) Are you currently taking any medications or supplements?

    11.) On a scale of 1-10, how would rate your current level of


    motivation?

    12.) What is your instagram handle?

    13.) Are you ready to become the best version YOU can be by
    financially investing in yourself?

    Once you’ve completed this form, send it on over to my email:


    rfeingold1996@gmail.com

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