New Client Intake Form

Welcome to the official application to join the IVII League! The fact that you made it to this page means that you are ready to unleash your highest self. With my coaching program, I will provide you with the tools to level up mentally, physically and emotionally. I want to help you become your own body goals.  This application is a way to ensure that we can create an efficient client-coach relationship. I am very selective with the individuals I allow to join my team. I am ready to work with those who are willing to take a leap of faith, trust the process and dedicate their efforts to making changes that will last in the long run.  Once submitted, I will reach out to let you know whether or not you are a good fit for the program. If you are selected, we will set up a 45-60 minute consultation call, where you will receive an overview of what training with Ivii looks like. The time is now to make a change. Let me help you.  It's time to join the IVII League.

Name

Email

Phone Number

Date of Birth

Occupation

Goals & Interests

I am interested in...

I would like my workouts to be...

What are you fitness goals?

What are your long term fitness, health and wellness goals? 

Is this goal physical or visual? Is there a specific number you would like to lose or gain? Are there specific body parts you would like target?

Fitness Experience

Do you have any prior fitness or exercise history?

If you played a sport, what sport(s) did you play?

Have you ever worked with a personal trainer or fitness coach before? If yes, how was your experience with them?

Lifestyle Questions

How much time do you have to dedicate to working out?

How many meals do you eat per day?

If you answered less than 3, which meal(s) are you usually skipping?

What are your eating habits like? What do you typically eat on a day to day basis? Have you ever tracked calories or macros before?

What do your meals consist of? How often are you snacking? 

How many bottles of water are you drinking per day?

How many hours of sleep do you get each night?

Do you have any medical conditions, disorders or injuries I should be aware of?

Does anything click or pop? Is anything tight? Do you have reoccurring pain?Do you have any mental conditions including anxiety, depression, anorexia, bulimia, etc.?

Commitment

Are you willing to commit to at least 3 months to your goals?

This is a marathon, not a sprint. You WILL NOT see results overnight. 

If you are ready to make the mental as well as financial commitment to a program that will change your life for the better, please print your signature below and submit your application.