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PLF – Client Onboarding
PLF Client Onboarding Form
Client Onboarding Form - Power Lift Fitness
About You
Name
*
Name
First
First
Last
Last
Email
*
Phone
*
Sex
*
Female
Male
Preferred
Preferred
DOB
*
Address
*
Address
Address
Address
Suburb
Suburb
State
State
Post Code
Post Code
Address
Emergency Contact Name
*
Emergency Contact Phone Number
*
Relationship
*
Husband
Wife
Mum
Dad
Child
Other
Relationship
How Did You Hear About Power Lift Fitness?
*
What Is Your Occupation?
Does Your Occupation Include Any Long Periods Of:
Physical Labour
High Activity
Moderate Activity
Sedentary Activity (Sitting)
What Types Of Exercise Or Activities Do You Currently Enjoy Or Participate In?
How Often Do You Exercise Per Week?
I Don't
Less Than 60 Minutes
60 - 90 Minutes
90 - 150 Minutes
More Than 150 Minutes
Your Goals
What Are Your Health & Fitness Goals?
How long have you wanted to achieve your health and fitness goals?
What Do You Think Has Prevented You From Achieving These Goals?
Lack of Motivation
Inconsistent Routine
Commitment Issues
Unclear Goals
Limited Knowledge
Financial Constraints
Emotional or Mental Barriers
Unsure of Benefits
Time Constraints
Other
Other
Do You Have A Support System In Place To Achieve Your Goals?
What Are Your Key Reasons For Wanting To Achieve Your Health And Fitness Goals Now?
Are There Any Specific Milestones Or Achievements You'd Like To Reach?
How Important Is It To Reach Your Goals? 1=Not Important - 10=Must Do
5
4. Where will you be in six months from now if you don’t do anything to achieve your goals?
Same Place As I Am Now
My Health Will Decline Further
Mentally Exhausted
Decreased Self-esteem
Emotionally Unfulfilled
Strained Relationships
Disappointed In Myself
Less Energetic Or Active
Other
Other
Do You Think There Will Be Any Barriers to You Reaching Your Goals?
No
Yes
Please Describe Your Barriers!
When Are You Ready To Get Started On Achieving Your Goals?
Now
This Week
In Two Weeks Time
Sometime This Month
Uncertain
Other
Other
What Do You Wish To Achieve?
Reduce Body Fat
Bodybuilding
Improve Flexibility
Rehabilitation
Manage Stress
Powerlifting
Sports Conditioning
Strength Training
Increase Fitness
Improve Muscle Tone
Improve Mobility
Other
Other
Is There A Specific Body Part You Would Like To Focus On?
Thighs
Back
Waist
Hips
Arms
Buttocks
Stomach
Shoulders
Legs
Everything
What Weekly Budget Do You Have In Mind To Achieve Your Goals?
245
Your Health
What Is Your Current Weight in Kg?
What Is Your Goal Weight in Kg?
What Time Frame Do You Want to Achieve This?
How Would You Rate Your Health & Fitness Right Now??
0
1
2
3
4
5
6
7
8
9
10
0 -
Poor - Needs Work
10 -
Spot On
Do You Have Any Specific Medical Conditions Or Health Concerns?
No
Yes
Please Provide Details!
Have You Ever Been Diagnosed With Any Chronic Illness Or Condition?
No
Yes
Please Provide Details!
Are You Currently Taking Any Medications Or Supplements?
No
Yes
Please Provide Details!
Have You Ever Undergone Surgery Or Had Any Significant Injury?
No
Yes
Please Provide Details!
Do You Have Any Physical Limitation or Restrictions?
No
Yes
Please Provide Details!
Have You, Or A Direct Relative, Ever Experienced The Following?
Heart Trouble ( Heart Attack, Rapid Heart Rate)
High Blood Pressure
Lower Back Pain
Chronic Back Pain
Shoulder Problems
Arthritis
Epilepsy
Knee Problems
Hypermobility
Asthma
Faint Or Dizzy Spells
Hip Problems
PTSD
Other
Other
Please Provide Details
Have You Discussed Training With Your GP and Been Cleared?
Yes
No
Your Nutrition
Are You Currently Following A Specific Diet?
No
Yes
Please Provide Details!
How Many Times In The Past Have You Been On A Diet?
Never
1-3
4-8
It Seems Like I'm Always Dieting
Do You Have Any Food Alergies, Intolerance or Diet Restrictions?
No
Yes
Please Provide Details!
Could You Please Provide A List Of Your Typical Daily Meals & Snacks?
Your Life
How Would You Describe Your Current Stress Levels?
What Strategies Do You Currently Use To Manage Stress?
Do You Consume/Take:
Alcohol
Cigarettes
Vaping
Recreational Drugs
If So, How Often?
Do You Have Any Problems Falling Or Staying Asleep?
Falling Asleep
Staying Asleep
How many Hours Of Sleep Do You Get Each Night, On Average?
Less Than 4 Hrs
4-5 Hrs
5-6 Hrs
6-7 Hrs
7-8 Hrs
More Than 8 Hrs
Your Coaching
Have You Ever Worked With A Coach Before?
No
Yes
Please Describe How That Went!
What Has Worked Well With Your Training In The Past
What Has Not Worked Well With Your Training In The Past?
How Much Time Are You Able To Commit To Improving Your Lifestyle.
How Many Days A Week Can You Realistically Commit To Training?
1
3
5
2
4
6
What Does Best Suit Your Schedule?
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
What Time Of Day Best Suits Your Schedule
Early Morning
Mid Morning
Lunch
Afternoon
Evening
Are You Interested in Tracking Your Results?
No
Yes
What Would You Like To Track?
Body Weight
Body Measurements
1RM
Body Shape with Photos
Journaling
Sleep Quality via wearables (Fitbit/Garmin)
Other
Other
What Are Your Expectations From Us?
Do You Have Any Concerns About Working Together To Reach Your Goals?
Is There Anything Else You Would Like Us To Know That Might Be Relevant?
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