Nicole Folker

 FWTFL New Client Questionnaire

Please fill out the form below.

This Client Assessment Form is a way for me to get to know you, your lifestyle and your specific goals as a client.
Please answer all questions as accurately as you can.

MEDICAL NOTE:
Before beginning your program, please visit your physician for standard blood work and a check-up in order to ensure that you have a clean bill of health. This program is not intended to replace your physician’s recommendations and/or advice regarding decisions related to your health.

THANK YOU! xo - Nicole

Full Name *
Full Name
Birth Date *
Birth Date
Home Address *
Home Address
Gender *
Primary goal during this program *
Are you currently exercising? *
Are you familiar with weight training? *
What type of equipment do you have access to? *
How active are you during the work day? *
How often do you go out to eat? *
 
FWTFL Coach Nicole Folker