Bailey Coaching Questionnaire
First Name
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Last Name
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Email
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Age
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Height
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Current Weight
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3-6months Goals:
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Please explain WHY these goals are important for you? What would achieving these goals mean to you?
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What have you done in the past that did or didn't work to reach your goals? Please be specific.
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What do you feel you struggle with most in reaching your goals?
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About how many calories do you eat daily? (Macros if known). If unknown, please include a typical day of eating, including snacks and treats.
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What does your current activity look like? Please include any physical activity you do consistently or inconsistently.
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Any major past injuries or current nagging issues?
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History of eating disorder? If yes, please explain.
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Current Medications
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Have you worked with a coach before? If so, why are you looking to try a new coach?
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On a scale of 1-10, how coachable are you?
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1
2
3
4
5
6
7
8
9
10
What lead you to reach out for coaching?
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Is there anything else I should know?
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