CLIENT ENROLLMENT FORM

Preferred Coach:

First Name

Last Name

Contact Number

Area CodePhone Number

Gender

Do you prefer Skype, FaceTime, or regular call?

Skype Username

E-mail

Instagram Username *

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Date Of Birth

MonthDayYear

Height

Weight

Goal Weight (if applicable)

Desired Plan:

Desired Length:

Describe your goal: by the time you are finished training, how will you look? How will you feel? What health indicators will be improved?

What do you think is the biggest obstacle to reaching your goal?

Tell your coach a little about you and your life:

Optional

Hobbies and things that make you happy:

Optional

Injuries/Prescriptions/Limitations (please be descriptive):

Optional

Current Exercise & Eating Patterns. What diets/approaches have you tried in the past? Were they successful?

Optional

How many meals per day do you typically eat?

How many calories per day do you typically eat?

Do you currently have a gym pass or work out at home? Where is your pass? What workout equipment do you have at home?

Has a member of the medical profession diagnosed you with any of the following:

Do you feel any pain in your chest when you exercise?

Please describe the pain if you answered Yes.

Have you had any significant surgeries in the past year?

Other

Check the box next to foods you WILL NOT eat:

Would you prefer yummy recipes that require prep, or more fast-grab quick prep items that are not as yummy?

Are there any weird textures or food preferences you have?

Do you take any of the following supplements?

Do you currently have or use Protein Powder?

What time do you wake up each day?

What time do you go to sleep each day?

What time do you workout each day?

Preferred Time Windows for Scheduled Coaching Calls (check any that apply):

Do you understand that the Body Buddies coaching programs are NOT in person? All communication takes place via email, text message, phone, and FaceTime/Skype.

Blood Type

How comfortable with technology are you? Your coach will send payment links, your plans, and communicate with you through the internet/email/Excel/etc.

Communication is the only way the Body Buddies coaching program works. We will drop a client who does not communicate at least once a week through their Coach's Accountability Form, or an email letting them know how things are going. We are coaches who get emotionally invested in our clients and want to see every single one succeed and be their best. Please only continue this form if you can commit to our communication expectations.

Please select any that apply:

Are you a Moderator or Abstainer?

How did you find Body Buddies? (If it was a friend, please provide their name so we may thank them).

Do you understand Kristy Jo nor any of the Body Buddies Coaches are doctors or Registered Dietitians, though the Body Buddies program is Registered-Dietitian approved?

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Custom Coaching: Client Enrollment Form