CLIENT ASSESSMENT FORM

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.