LIFESTYLE AND GOALS FORM | ESTEEM

What's your why? ( the purpose for your consultation today.)

What are your feelings on holistic alternative medicine?

Have you worked with a trainer before? Tell us about the experience.

Do you have any chronic illnesses and are you under professional medical care? if so, please list illness, doctor, and medications.

How often is losing weight on your mind?

What is your current weight and height?

If someone were to help you reach your goals how dedicated would you be?

How often do you currently work out?

Provide a breakdown of what you eat in a day.

What type of activites do you enjoy?

At what weight did you feel your best?

Do you kenow your unhealthy habits. behaviors? list them

What's more important your weight or a healthy lifestyle?

LIFESTYLE AND GOALS QUESTIONNAIRE