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New Client Discovery Form

Let’s Get Started!

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“So, why are you here…?”

Congratulations on taking your next step in improving your fitness, health, and nutrition! Before we have our first visit (complimentary), please complete this quick form. This will maximize our time together when we meet.

1 Contact Info

2 Goals

3 Experience

4 Nutrition

5 Exercise

6 Final Details

Name*
First Last
Phone*
Email*
Address
Street Address Address Line 2 City State ZIP Code

What are your top 3 health and fitness goals?*
How important are these goals to you?*
Why are these goals important to you?*
Have you tried to achieve these goals before? If yes, what was your success/failure rate?*

When was the last time you participated in a consistent exercise program? How successful were you?*
Have you worked with a trainer before? If yes, how was that experience?*

What do you feel you need to improve with your nutrition? (Check your top 3)*
- Portion Control
- Carbohydrate intake
- Meal consistency
- More protein
- Eating out vs. cooking
- Binge eating
- Alcohol consumption
- Sugar and other junk food
- Late night snacking
- Other (specify below)
What other areas do you need to improve with your nutrition?

What makes it difficult for you to exercise on a regular basis?*
- Knowing what to do
- Staying motivated
- Discipline
- Accountability
- Intimidation
- Boredom
- Making time
- Other (Please specify below)
What else makes it difficult for you to exercise on a regular basis?
How many days per week can you realistically exercise (with or without a trainer)?*

How will you know our fitness program is a success for you?*
Is there anything else you would like me to know before we meet?
How did you learn about Thrive Personal Training?
If referred by someone else, please let me know who I can thank for the referral!
If we haven't talked yet, how would you like me to contact you to schedule our first visit?*
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