New Client Questionnaire

Full Name:

Weight:

lbs

Are you working out at HOME or at GYM?

Note: Your custom workout will be available to you on your start date

If at HOME, what equipments do have access to?

What workout are you unable to perform that I should know of due to injury?

Preferred Start Date:

Dietary Preference:

Note: Your custom meal plan will be ready for you before your starting date.

Any foods you are allergic to?

Any foods you ABSOLUTELY do not eat?

Training Program Duration:

3 Months

6 Months

1 Year

Did you make a deposit?

Yes

Note:
- Minimum $99
- Your deposit will be deducted on the total balance

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I confirm and declare that the information I've provided is true, complete, and accurate to the best of my knowledge. I acknowledge that Coachingbydrake, LLC is not liable for any harm resulting from misrepresentation, fabrication, or omission of information stated within this form.