Apply - Christie Stoll Fitness

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1. Tell me about your lifestyle and habits

Your answers below will help me ensure my coaching style is a good fit for your personal goals and needs.

What are your goals? Check all that apply.

Lose weight / body fat

Gain weight

Maintain weight

Add muscle

Improve overall health

Improve physical fitness

Look better

Feel better

Have more energy and vitality

Healthy aging

Get control of eating habits

Get stronger

Improve athletic performance

Get off or decrease medications

Other

Please specify what other goals you have:

Have you tried before to change your habits, health, eating, and/or your body? If so, how and when?

Which of these things worked, even just a little, and why?

Which of these things didn’t work, and why?

What further changes would you consider making?

What has held you back from making these changes so far?

2. Tell me about what you are doing right now

Your answers below will help me ensure my coaching style is a good fit for your personal goals and needs.

On a scale of 1-10, how would you rank your overall eating habits?

(1-terrible, 10-perfect)

Why?

Approximately how many hours per week do you exercise?

What types of exercise do you typically do?

How many people live in your household with you?

Who does most of the grocery shopping?

Who does most of the cooking?

Who decides on most of the menus/meal types?

On a scale of 1-10, how much do the people around you support your health and fitness goals?

(1-not at all, 10-very much)

3. Tell me about the current state of your health

Your answers below will help me ensure my coaching style is a good fit for your personal goals and needs.

Have you ever experienced any significant medical conditions and/or injuries?

Do you currently have any specific health concerns, such as illnesses, pain, and/or injuries?

Are you currently taking any medications (over-the-counter or prescription)?

On a scale of 1-10, how would you rank your health right now?

(1-terrible, 10-great)

On a scale of 1-10, what is your typical stress level on an average day?

(1-stressed, 10-no stress at all)

On average, how many hours per night do you sleep?

On a scale of 1-10, how ready, willing, and able are you to change behaviours and habits?

(1- not at all, 10- extremely)

Ready

Willing

Able

4. Tell me about your expectations

Your answers below will help me ensure my coaching style is a good fit for your personal goals and needs.

What do you expect from me as your coach?

What are you prepared to do to work towards your goals?

Disclaimer

Please recognize that it is your responsibility to work directly with your health care provider before, during, and after seeking nutrition and / or fitness consultation. Any information provided is not to be followed without prior approval of your doctor. If you choose to use this information without such approval, you agree to accept full responsibility for your decision.

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Apply for Nutrition Coaching

1. Tell me about your lifestyle and habits

2. Tell me about what you are doing right now

3. Tell me about the current state of your health

4. Tell me about your expectations

Disclaimer

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