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Client Interview Template
Name of client:
Date of birth: Gender: M
Physical assessments
Height: 181 cm Other assessments:
Weight: 77.5 Kgs PBF: 23.5 Kgs
BMI: 23.7kg/m2 SLM: 54.8 Kgs
Client barriers:
Lack of time - Building physical activities into everyday life
Client motivators:
- Free t-shirt on quarterly membership
- Free gloves on monthly membership
Strategies to overcome barriers and maximise motivators:
Lifestyle, occupation and hobbies:
Exercise preferences:
Client’s overarching goals
SMART goals
Short-term:
To lose 1 kg of fat in 1 month by exercising
Medium-term:
Long-term:
How will goals be reviewed?
Short-term:
Medium-term:
Long-term:

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CLIENT INTERVIEW TEMPLATE.docx

  • 1. Client Interview Template Name of client: Date of birth: Gender: M Physical assessments Height: 181 cm Other assessments: Weight: 77.5 Kgs PBF: 23.5 Kgs BMI: 23.7kg/m2 SLM: 54.8 Kgs Client barriers: Lack of time - Building physical activities into everyday life Client motivators: - Free t-shirt on quarterly membership - Free gloves on monthly membership Strategies to overcome barriers and maximise motivators: Lifestyle, occupation and hobbies: Exercise preferences:
  • 2. Client’s overarching goals SMART goals Short-term: To lose 1 kg of fat in 1 month by exercising Medium-term: Long-term: How will goals be reviewed? Short-term: Medium-term: Long-term: