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Habit & Lifestyle Questionnaire Form

Assess client habits and lifestyle for coaching, capturing consistency, stress, sleep, and nutrition in one form.

Description

The Habit and Lifestyle Questionnaire Form gives coaches a clear read on the daily habits that shape a client’s results. It captures how consistent they are with key habits, their stress and energy through the day, and how much they sleep, so you understand the lifestyle behind the goals.

Fields for their nutrition, alcohol intake, what they most want to improve, and their single biggest lifestyle challenge turn habits into a coaching plan. Capturing all this upfront means you can target the everyday behaviors that make the biggest difference to a client’s progress.

Lasting results come from better habits. Sign up for a free Fun Forms account to customize the fields and embed this questionnaire on your website.

Form fields

Everything the Habit & Lifestyle Questionnaire Form above collects — 10 fields, so you can see exactly what it captures before you make it your own.

Your Lifestyle Snapshot

  • How consistent are you with each?

    Matrix Icon
    Matrix
  • How are your stress levels day to day?

    Scale Icon
    Scale
  • How's your energy through the day?

    Scale Icon
    Scale
  • How many hours do you sleep on average?

    Dropdown Icon
    Dropdown
  • How would you rate your nutrition?

    Dropdown Icon
    Dropdown
  • Roughly how many alcoholic drinks per week?

    Number Icon
    Number
  • Which would you most like to improve?

    Multi-Select Icon
    Multi-Select
  • What's your single biggest lifestyle challenge?

    Long Answer Icon
    Long Answer
  • Your name

    Name Icon
    Name
  • Email address

    Email Icon
    Email
Use Template Arrow Right Icon

Template FAQs

Common questions about the Habit & Lifestyle Questionnaire Form — what it captures, when to use it, and how to make it your own.

What is a habit and lifestyle questionnaire form?

A habit and lifestyle questionnaire form is an online form clients complete to assess their daily habits. It captures consistency, stress, sleep, and nutrition, so a coach understands the lifestyle behind a client’s goals and can target the behaviors that drive real, lasting results.

Why assess habits rather than just workouts?

Results come from what a client does every day, not just in the gym. Habits around sleep, stress, nutrition, and consistency often make the biggest difference, so assessing them lets you coach the whole lifestyle and help clients build the behaviors that sustain progress.

Why ask about a client’s biggest lifestyle challenge?

Asking about a client’s single biggest lifestyle challenge cuts straight to what is holding them back most. Knowing it lets you focus your coaching where it will have the greatest impact, tackling the one habit that, once fixed, unlocks the most progress.

Why ask about stress and sleep?

Stress and sleep profoundly affect energy, appetite, recovery, and consistency. Capturing them gives you a fuller picture than training alone, so you can address the lifestyle factors that quietly shape a client’s results and support them as a whole person, not just their workouts.

Why ask what a client most wants to improve?

Asking what a client most wants to improve keeps coaching focused on their priorities and motivation. It ensures you work on the habits they care about, so change feels relevant and rewarding, and the client stays engaged in building a better lifestyle.

Is the habit and lifestyle questionnaire form free?

Yes, this habit and lifestyle questionnaire form is completely free, and you can customize the fields to fit your coaching, embed it on your website, and go live with no coding required. Just create a free Fun Forms account to start assessing clients online.