Full Name:
*
Phone
*
Age
*
Occupation
*
Height
*
Current Weight
*
Goal Weight
*
What are you craving more of right now?
Strength
Structure
Confidence
Inner Peace
Discipline
Balance
Community
On a scale of 1-10, how would you rate your knowledge and comfort around equipment in the gym?
*
1
2
3
4
5
6
7
8
9
10
How would you rate your current stress levels?
*
Do you currently track calories or macros? If yes, how does that feel for you?
*
Do you have any injuries, chronic pain, or limitations Maddy should know about?
*
What did your current movement routine look like over the last 7 days? (i.e.: Walks, cardio, group classes)
*
What kind of accountability do you respond best to?
*
Gentle Reminders
Structure & Check-ins
Crystal Clear Expectations
Autonomy with Guidance
How many hours per week are you capable of setting aside for your goals in this current season of life?
*
1
2
3
4
5
6
7
8
9
10
What is your requested days & time frame for in person training sessions? (note: clients who attend classes 3x a week have the most optimal results)
*
Do you travel frequently or have schedule variability?
*
Yes
No
Certain times of the year
If yes, are you open to hybrid programming? (In person + remote training)
*
Yes
No
Possibly. I'd like to learn more.
Are you open to small group or semi-private training?
*
Yes
Not at this time.
Possibly. I'd like to learn more.
Other
Have you worked with a personal trainer before? If so, what did you enjoy or not enjoy about the process?
*
On a scale of 1-10 how serious are you about reaching your goals?
*
1
2
3
4
5
6
7
8
9
10
Anything you'd like Maddy to know about you
*
Full Name:
*
Phone
*
Age
*
Occupation
*
Height
*
Current Weight
*
Goal Weight
*
What are you craving more of right now?
*
Strength
Structure
Confidence
Inner Peace
Discipline
Balance
Community
On a scale of 1-10, how would you rate your knowledge and comfort around equipment in the gym?
*
1
2
3
4
5
6
7
8
9
10
How would you rate your current stress levels?
*
Do you currently track calories or macros? If yes, how does that feel for you?
*
Do you have any injuries, chronic pain, or limitations Maddy should know about?
*
What did your current movement routine look like over the last 7 days? (i.e.: Walks, cardio, group classes)
*
What kind of accountability do you respond best to?
*
Gentle Reminders
Structure & Check-ins
Crystal Clear Expectations
Autonomy with Guidance
How many hours per week are you capable of setting aside for your goals in this current season of life?
*
1
2
3
4
5
6
7
8
9
10
What is your requested days & time frame for in person training sessions? (note: clients who attend classes 3x a week have the most optimal results)
*
Do you travel frequently or have schedule variability?
*
Yes
No
Certain times of the year
If yes, are you open to hybrid programming? (In person + remote training)
*
Yes
No
Possibly. I'd like to learn more.
Are you open to small group or semi-private training?
*
Yes
Not at this time.
Possibly. I'd like to learn more.
Other
Have you worked with a personal trainer before? If so, what did you enjoy or not enjoy about the process?
*
On a scale of 1-10 how serious are you about reaching your goals?
*
1
2
3
4
5
6
7
8
9
10
Anything you'd like Maddy to know about you
*
Copyright mind and body coaching | 2026 | All rights reserved