Revitalize U Fitness — New Client Application REVITALIZEU Fitness New Client Application 01 Personal Info Full Name * Please enter your full name. Age * Please enter your age. Email * Please enter a valid email address. Phone * Please enter your phone number. Current Weight * Please enter your current weight. Height * Please enter your height. Occupation * Please enter your occupation. 02 Goals Primary Goal * Strength Fat loss Muscle gain General health & longevity Sport-specific performance Other Please select your primary goal. What's the Timeline or Event Driving This, If Any? 03 Training History Have You Worked With a Coach or Trainer Before? * Yes No Please select an option. What Worked, and What Didn't? * Please share what worked and what didn't. What Have You Tried on Your Own That Didn't Get the Results You Expected? * Please share what you've tried on your own. 04 Schedule & Access How Many Days Per Week Can You Realistically Commit? * 2 days 3 days 4 days 5+ days Please select how many days you can commit. Do You Have Access to Equipment or a Gym Outside of Sessions With Me? * Yes No Please select an option. 05 Health Do You Have Any Current or Past Injuries, Surgeries, or Chronic Pain? * Yes No Please select an option. Please Describe the Injury, Surgery, or Condition * Please describe your injury or condition. 06 Lifestyle Average Hours of Sleep Per Night * Less than 5 hours 5–6 hours 7–8 hours 8+ hours Please select your average sleep. How Would You Describe Your Stress Levels Outside of Training on a Typical Week? * Low — generally manageable Moderate — some consistent pressure but handling it High — regularly elevated and affecting daily life Please select your stress level. 07 Nutrition How Would You Describe Your Current Eating Habits? * Pretty dialed in — consistent meals, hitting protein, minimal junk Decent — some good habits but inconsistent Needs work — eating is all over the place Please select your eating habits. Do You Have a General Sense of How Many Calories You Eat Daily? * Yes, I have a solid idea Roughly, but not precise No idea Please select your calorie awareness. Send to Coach Ravonn Your responses will be sent directly and securely to Coach Ravonn.
