Intake questionnaire

The more detail you give, the better your plan. Takes about 5 minutes.

About you

Full name *Phone / WhatsApp number (with country code) *Email *Age *SexUnits *Height *Current weight *Goal weight (optional)Estimated body fat % (optional)

Your goals

Describe your goal in your own wordsTimelineMotivation level (1–10)Why now? What's driving you?

Training

Training experience *Days per week you can train *Where will you train? *Session lengthWhat does your current training look like?

Nutrition & lifestyle

Daily activity (outside training)Average sleepStress levelMeals per dayDietary preferences, allergies or foods you avoidWhat does a typical day of eating look like?

Health

Injuries, medical conditions, or medications I should know aboutHow did you hear about me?

Health waiver

I am 18 or older and in good health, or I have been cleared by a doctor to exercise and change my diet.
I have shared any injuries, medical conditions or medications above, and I will tell my coach about any changes.
I understand coaching is not medical advice, and my coach is not a doctor or licensed healthcare provider.
I take part voluntarily, accept the risks of exercise and diet changes, and release Ascend Coaching from liability as described in the Terms & Health Waiver.

I have read and agree to the health waiver and Terms of Service. *