application New Client ApplicationPlease enable JavaScript in your browser to complete this form.First and Last Name *Your Email Address *City / State you live inInstagram Username CareerPhone NumberFirst let’s get your stats. How old are you? *What is your current weight? *What is your goal weight?How tall are you? *Gender (for custom nutrition program)FemaleMalePrefer not to answerDescribe what a typical day/week looks like for you? (Lifestyle) *What does your weekly energy expenditure look like outside of the gym? (E.g. Highly active, sedentary desk job, etc.)*SedentaryLightly ActiveModerately ActiveHighly ActivePlease describe any past and current injuries. Please list any contraindications to exercise or previous injuries I should be aware of while writing your training program. (if this is applicable)What is your training age? (Years you have been active)What are some of your fitness goals? check all that apply* *Balance + StabilityLean Fat LossHypertrophy / BodybuildingIncreasing StrengthIncreasing EndurancePowerliftingSports PerformanceOther (explain below)What are your best body parts?What are the body parts you’d like to work on the most?Where do you workout currently? *HomeGymWith TrainerOutsideAt SchoolI do not workout currentlyWhat equipment do you have access to? *Yoga MatBodyweightPhysio BallLoop / Resistance BandsDumbbellsMedicine BallsTRXBarbellsCardio EquipmentCable MachinesPlated Loaded MachinesPin Loaded MachinesWhen do you prefer to workout? check all that apply* *MorningAfternoonEveningI don't prefer to workout lolWhat is your current weekly strength training routine? Please be as specific as you can-- i.e. days per week, duration of workouts, muscle group splits, types of workouts, etc.. *How comfortable do you feel performing compound lifts? Please list current lifts/maxes if known. Examples include squats, deadlifts, hip thrusts, overhead press, bench press. *Would you like these incorporated into your program? *select oneYesNoNot SurePlease list how many days per week you plan to train and the realistic amount of time you can dedicate to each session. *On to nutrition-- What did you eat in the last 24 hours/yesterday? *What eating habits do you have? check all that apply*track caloriestrack macroseat intuitivelysnackdine outmeal prepnot tracking anything, just eat whatever is convenienteat at night timefastingvegetarian / veganspecific dietovereatother (describe at below)Please describe your current nutrition routine: i.e. number of meals per day, meal timing, amount of calories per day, macros per day, and/or specific diet. Are you gaining, maintaining or losing weight at this current lifestyle?GainingMaintainingLosing WeightFluctuating, weight is up and downDo you prefer carbs or fats more? Or do you enjoy both equally?CarbsFatsBoth EqualHow would you rate your overall digestion? Please note any current or past issues.How much water do you drink per day?waterlowmoderatehighHow much caffeine do you drink per day?caffeinenone - lowmoderatehighHow much alcohol do you consume per week?alcoholnone - lowmoderatehighDo you use supplements or any medications? List belowPlease list any food allergies, medication allergies/food restrictions, supplement allergies, diseases or disorders.*When was the last time you dieted? Do you have a history of eating disorders, disordered eating or restrictive dieting? This may seem very private, but pertinent metabolic information for me to know.What would your ideal health, fitness, and nutrition look like in the next three months? How committed are you to achieving this goal? *What obstacles are holding you back from reaching your fitness and / or nutrition goals? Life is more than just fitness and nutrition, do you have other non fitness related goals? (i.e. family, relationships, career, volunteering, social life, sports, hobbies, etc.)How many hours a night do you typically sleep? Please note any current or past issues.On a scale 1-10 how is your daily energy levels? (1 = lowest / 10 = highest) Selected Value: 0 On a scale 1-10 how is your daily stress levels? (1 = lowest / 10 = highest) Selected Value: 0 What kind of coaching are you looking for? check all that apply *FitnessNutritionLifestyleWhat kind of coaching would best help you reach your goals? check all that apply *One Time Custom Nutrition Program4-12 Week Custom Fitness Lifestyle Program with Check InsMonthly Online Non Custom Coaching (Fit Babe Vibe Tribe)1-1 Personal Training (8-20 Session Package)1-1 Virtual Personal Training (8-20 Session Package)Other (explain below)When are the best days / times to schedule our 30 minute consultation?How did you hear about Sarah's Strengths Inside Out Coaching?Are there any other comments/questions that you may have for me before starting your fitness journey together?WebsiteSubmit