Wellness Assessment Questionnaire Template

Use our Wellness Assessment Questionnaire Template to collect vital health data with clients. Customize lifestyle queries, health history, personal goals, and intake processes.
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The Wellness Assessment Questionnaire is an essential tool for health and wellness coaches seeking to provide personalized support to their clients. This form is designed to gather crucial information about a client's health history, lifestyle, and personal goals. By understanding the specific needs and aspirations of each individual, coaches can tailor their guidance and recommendations, ensuring that clients receive the most effective and relevant support. This personalized approach not only enhances the client experience but also increases the likelihood of successful outcomes, making it an invaluable asset in the coaching process.


In the project lifecycle, the Wellness Assessment Questionnaire serves as a foundational step in the client intake process. It allows coaches to collect important data before the coaching relationship begins, ensuring that sessions are focused and productive from the outset. This form can be easily shared with clients via email or embedded on a coaching website, making it accessible and convenient for clients to fill out. By streamlining the intake process, coaches can quickly assess their clients’ needs and begin crafting customized wellness plans.

Frequently asked questions
What is a wellness assessment questionnaire and what does it do?
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A wellness assessment questionnaire collects client health data, lifestyle habits, and goals. It helps coaches tailor personalized wellness plans for effective client support.
Who should use this wellness assessment questionnaire template?
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Health and wellness coaches, nutritionists, personal trainers, and holistic practitioners can use this template to gather essential client information for personalized coaching.
What should be included in a wellness assessment questionnaire?
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Include sections on health history, lifestyle habits, personal goals, dietary preferences, exercise routines, and wellness objectives to create a comprehensive client profile.

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