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Welcome Packet for Body Transformation & Lifestyle Coaching
I’m thrilled that you’ve decided to create something new and beautiful for yourself. I am committed to helping you further develop your life to be one that you value, cherish and own with pride. Please fill in your welcome packet to allow me to understand your unique needs and how I can best serve you as your Coach.

Your Goals
What are your reasons for wanting to receive coaching?
What are your specific goals for this coaching program and for taking your life and fitness to the next level? What specifically?*
What specifically do you want to accomplish by the end of this program?*
What has kept you from accomplishing these goals in the past? Be Specific.
What are you willing to change about yourself or your fitness level to accomplish your goals? Be Specific.
What other personal and business development work have you done? Please list programs, seminars, mentors, books etc. that have had a powerful impact on your development:
What is going to be the most difficult part, or the biggest obstacle to achieving your goal?
What can you do to overcome these obstacles? Be Specific.
What are YOUR strengths and weaknesses? Be Specific.
If you could change three things in your life right now, what would they be?

Your Health
Please list your top three nutrition, health, or fitness interests:
Interest #1
Interest #2
Interest #3
Have you seen any other practitioners in the last 2 years for your health concerns? If yes, what were their recommendations? Were the recommendations successful?
What types of supplements or medications do you take, if any? Please include the brand name.
How is your sleeping? What are the average hours per night? Do you feel rested when you wake up?
Do you exercise? If so, please indicate what you do and how often.
How are your energy levels? Do you experience energy lows during the day? Is this consistently most days?

Intestinal Health
How often do you have bowel movements in a day? Please list all digestive concerns that you experience now or in the past: bloating, gas, cramping, constipation, etc.

Mental Health Status and Lifestyle
What is your emotional state right now? Has there been significant emotional trauma in your life? Divorce, separation, family problems, death, etc?
Do you tend to eat MORE or LESS when stressed?

Indicate your stress level on a scale of 1-5.

	1	2	3	4	5

1 is Low, 5 is High

List the source of your stress and your method of coping with stress?
Do you smoke? If yes, how much and how often?
Do you consume alcohol to manage stress? If yes, how much and how often?
Do you ever eat for emotional reasons?
Do you have or ever had an eating disorder? Either under-eating or over-eating? Please explain
Do you think family and friends will be supportive of you making health and lifestyle changes to improve your quality of life? If no, please explain.
Who in your family or friends circle can be most supportive of you making dietary changes?
Please let me know if there is any thing else you would like to include or cover in your coaching package:
Thank you, please send your welcome package by email two days before your first coaching session.
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Welcome Packet for Body Transformation & Lifestyle Coaching