Health Coaching

In today’s fast-paced world, achieving holistic well-being is not just a desire; it’s a necessity. Our visionary company, dedicated to personal development, is here to guide you on an extraordinary journey towards optimal health and wellness through their exceptional Health Coaching program. With a commitment to helping you live your best life and attain unparalleled growth, Fit and Slimmer Body’s Health Coaching is designed to be your ultimate partner in realizing your true potential.

Health Coaching is more than just achieving physical fitness. It’s a comprehensive approach that encompasses mental, emotional, and spiritual well-being. Our skilled and compassionate Health Coaches are devoted to understanding your unique goals, challenges, and aspirations. Through personalized guidance and unwavering support, they will empower you to make lasting, positive changes that extend far beyond the realms of diet and exercise.

One size does not fit all, especially when it comes to health and wellness. Our specialists believe in tailoring every Health Coaching experience to suit your individual needs. Whether you’re aiming to lose weight, manage stress, boost energy levels, or cultivate a healthier lifestyle, our coaches will work closely with you to develop a personalized strategy that aligns with your objectives. Your journey to well-being will be paved with scientifically-backed insights, actionable steps, and a roadmap for sustainable success.

True wellness extends beyond the physical realm. The Health Coaching program delves into the holistic aspects of your life, recognizing the intricate connections between your mind, body, and spirit. Our Health Coaches are trained to address not only nutritional and exercise-related concerns but also factors such as sleep patterns, stress management, and mindfulness practices. By fostering a balanced approach to wellness, we ensure that you experience transformative growth in every facet of your life.

Our Health Coaching program is about more than just achieving short-term health goals. It’s a transformative journey that empowers you to unlock your full potential and lead a life of boundless vitality, purpose, and fulfillment. As you work closely with our Health Coaches, you’ll discover the incredible potential within you to overcome obstacles, cultivate resilience, and embrace positive habits that will shape your future.

Are you ready to embark on a wellness journey that will redefine your life? Our Health Coaching program is your gateway to a brighter, healthier, and more vibrant future. Join our community of like-minded individuals who are committed to growth, and let us guide you towards unlimited human potential.

Remember, it’s not just about being fit; it’s about becoming the best version of yourself. With Fit and Slimmer Body’s Health Coaching, your journey to optimal well-being begins now.

Elevate Your Mind and Body

Dive into a world of knowledge and transformation with our exclusive collection of Wellness e-books. These thoughtfully crafted literary gems are your gateway to unlocking the secrets of holistic well-being. Immerse yourself in expert insights, practical tips, and empowering narratives that will inspire you to take charge of your health journey. Whether you’re seeking nutritional wisdom, stress management techniques, or mindfulness practices, our Wellness e-books offer a treasure trove of guidance. Elevate your mind and body as you turn each page and embark on a path towards lasting wellness, vitality, and personal growth.

HEALTH COACHING

Prioritize your well-being with our health coaching program. Achieve optimal physical and mental health through personalized guidance on nutrition, exercise, and holistic wellness practices.

Health Coaching - Pre-Questionnaire

in this exercise, you will need to look inward for real find what you are seeking. It could be more intuitive to do this. Our default position is to spin things, so it’s not our ‘fault.’ In so doing, we avoid looking at ourselves and miss opportunities to know and heal ourselves and our pain. We also never learn to identify why we live the life we live. So, it’s time now to look at yourself only, to get clear about what you want, and to express it clearly so you can build the life of your dreams.

Confidential Client Information

Name (First & Last):

Email:

How often do you check email?*:

Street Address:

City:

State:

Province:

Region:

ZIP Code:

Phone (day):

Phone (cell):

Phone (night):

Who Referred You To Our Company:

How did you hear about our company:

Statistics

Age

Birth Date

Gender

Height (in feet)

Blood Type*

Birth Weight (if known)

Current Weight

Ideal Weight

Weight One Year Ago

Would you like your weight to be different?

Family/Living Situation

How many people live in your home?

Children and Their Ages

History

Occupation

Have you lived or traveled outside of the United States? If so, when and where?

Have you or your family recently experienced any major life changes? If so, please comment:

Have you experienced any major losses in life? If so, please comment:

How much time have you had to take off from work or school in the last year?

Did you experience any childhood trauma (emotional, physical, family/divorce) or serious health concerns?

Goals

Please list any/all concerns about your health, eating habits, fitness, and/or body, rating them in matters of importance.

Please explain why the top 3 are the most important.

What do you expect from your coach?

Health Concerns

What are your main health concerns? (Describe in detail, including the severity of the symptoms):

When did you first experience these concerns?

How have you dealt with these concerns in the past?

Have you experienced any success with these approaches?

What other health practitioners are you currently seeing? List name, specialty, and phone # below:

Please list the date and description of any surgical procedures you have had:

How often did you take antibiotics in infancy/childhood?

How often have you taken antibiotics as a teen?

How often have you taken antibiotics as an adult?

List any medicine you are currently taking:

List all vitamins, minerals, herbs, and nutritional supplements you are now taking:

Have any other family members had similar problems (describe)?

Nutritional Status

Are there any foods you avoid because of how they make you feel? If yes, please name the food and the symptom:

Do you have symptoms immediately after eating, like bloating, gas, sneezing, or hives? If so, please explain:

Are you aware of any delayed symptoms after eating certain foods, such as fatigue, muscle aches, sinus congestion, etc? If so, please explain:

Are there foods that you crave? If so, please explain:

Describe your diet at the onset of your health concerns:

Do you have any known food allergies or sensitivities?

What percentage of your meals are home-cooked?

Is there anything else I should know about your current diet, history, or relationship to food?

Change

Have you tried anything in the past to change your habits, health, eating and/or your body?

yes No

If so, what? (please specify which ones worked well for you)

How specifically would you like this to be different?

If you were to consider making changes to these habits, health choices and your body, what might come to mind?

Until now, what has been the biggest barrier to making these changes?

What does your fitness program consist of currently?

Intestinal Status

Bowel Movement Frequency:

1–3 times per day more than 3 times per day not regularly every day

Do you experience intestinal gas? If so, please explain if it is excessive, occasional, odorous, etc:

Have you ever had food poisoning? If yes, please describe in detail, including 1) Where were you 2) What did you treat it with and 3) If you feel like you fully recovered from it:

Medical Status

Briefly describe your symptoms, chosen treatment(s), and dates for the above list:

Health Hazards

Have you been exposed to any chemicals or toxic metals (lead, mercury, arsenic, aluminum)?

yes No

Do odors affect you?

yes No

Are you or have you been exposed to second-hand smoke?

yes No

Do you have mercury amalgam fillings?

yes No

Lifestyle History

Have you had periods of eating junk food, binge eating or dieting? List any known diet that you have been on for a significant amount of time.

Have you used or abused alcohol, drugs, meds, tobacco or caffeine? Do you still?

How do you handle stress?

Sleep History

Are you satisfied with your sleep?

Do you stay awake all day without dozing?

Are you asleep (or trying to sleep) between 2:00 a.m. and 4:00 a.m.?

Do you fall asleep in less than 30 minutes?

Do you sleep between 6 and 8 hours per night?

For Women Only

How are/were your menses? Do/did you have PMS? Painful periods: If so, explain

n the second half of your cycle, do you experience any symptoms of breast tenderness, water retention, or irritability?

Have you experienced any yeast infections or urinary tract infections? Are they regular?

Have you/do you still take birth control pills: If so, please list length of time and type.

Have you had any problems with conception or pregnancy?

Are you taking any hormone replacement therapy or hormonal supportive herbs? If so, please list again here.

Sexual History

Do you have any concerns or issues with your sexual functioning that you’d like to share with us (pain with intercourse, dryness, libido issues, erectile dysfunction)?

In the past year, have your sexual partners been men, women, or both? And how many partners have you had in the past year?

Mental Health Status

How are your moods in general? Do you experience more anxiety, depression or anger than you would like?

On a scale of 1-10, one being the worst and 10 being the best, describe your usual level of energy.

At what point in your life did you feel best? Why?

Other

Do you think family and friends will be supportive of you making health and lifestyle changes to improve your quality of life? Explain, if no.

Who in your family or on your health care team will be most supportive of you making dietary changes?

Please describe any other information you think would be useful in helping to address your health concern(s):

What are your health goals and aspirations?

Though it may seem odd, please consider why you might want to achieve that for yourself:

Forms Of Relaxation

What kind of relaxation techniques do you use? Are breathing, meditation, journaling, yoga, etc. involved?

What role do sports and exercise play in your life?

Food

Foods you eat for breakfast

Foods you eat for lunch

Foods you eat for dinner

Are there any foods that you avoid because of the way they make you feel? If yes, explain.

What percentage of your foods are home-cooked?

Are you currently on a special diet? If so, explain.

Are you willing to or interested in preparing more meals from home?

Where do you get the rest of your meals from?

How many hours pass between your main meals?

Do you crave sugar, coffee, cigarettes or have any major addictions?

Anything else you would like to share?

Are you willing to move outside of your comfort zone, try new foods and make adjustments in your routines in order to achieve your health goals?

Other

What are three goals you have towards health?

Do you think family and friends will be supportive of you making health and lifestyle changes to improve your quality of life? Explain, if no.

Who in your family or on your health care team will be most supportive of you making dietary changes?

How did you hear about us?

Would you like to join our mailing list to receive future communications, training offers, coaching, and discounts? We'll never send spam, and you can unsubscribe anytime.

Yes No

Terms And Conditions

Your health and well-being are interconnected with your nutrition and lifestyle. By submitting this form, you acknowledge that the information provided is accurate and that any treatment or recommendations are based on the data you've provided. Any health issues resulting from inadequate or inaccurate information are your responsibility.

Disclaimer

Please understand that it's crucial to consult with your healthcare provider before, during, and after seeking health, fitness, nutrition, and wellness coaching/consultation. Follow the advice given here only with prior approval from your doctor. If you decide to implement this information without proper approval, you assume full responsibility for your decisions..

Client Signature:

Date:

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Through personalized coaching, innovative strategies, and a commitment to excellence, clients embark on a transformative journey.

Health Coaching

Elevate Your Mind and Body

HEALTH COACHING

Health Coaching - Pre-Questionnaire

Confidential Client Information

Statistics

History

Goals

Health Concerns

Nutritional Status

Change

Intestinal Status

Medical Status

Health Hazards

Lifestyle History

Sleep History

For Women Only

Sexual History

Mental Health Status

Other

Forms Of Relaxation

Food

Other

Terms And Conditions

Disclaimer

Client Signature:

STAY UPDATED on the latest offerings from our team!

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