Qualifying Profile Sheet (Final)

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Qualifying Profile Sheet

Name: Date:
Questions

1. What brings you in today of all days?


Greeting

2. Do you live or work in the area?


3. Are you looking for just yourself, or for a friend/family member to join you?
4. Have you ever been to our facility before?

1. What does success look like in the first 6 weeks?


(Ask open end
Goals
questions)

2. What about 12 months and beyond?


(Ask open end
questions)
Goals

3. What is motivating you to do that?


4. Tell me about the people in your life who will benefit the most from this
investment in your health.
5. What does it look & feel like if you accomplish these goals?
What if you don’t make any changes?

1. What have you tried before?


Obstacles

2. What was missing from those attempts for long term success?
3. What habit(s) will you need help adjusting to reach these goals?
(Eating out, smoking, drinking, etc..)
4. What could get in the way of you accomplishing your goals? What else?
5. Any injuries or limitations we should know about?

1. How many days per week can you commit?


Commitment

2. What time of day works best? (morning, afternoon, evening)


3. What does your support system outside the gym look like? Do they know you
are here for this appointment?
4. On a scale of 1-10, how committed are you to achieving your goals?
5. ___ is great. Why not a lower number?
6. Why is now the time?

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