Laura L Coaching

Nutrition, Lifestyle, and Wellness

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Laura L Coaching

Nutrition, Lifestyle, and Wellness

Home
About
Coaching
- Work With Me
Resources
Contact

Resource Article

What Do You Need to Clear Out?

Leave a Comment / Resource Article / coachingfromlaura

Things have been rather exciting for me over the past week! I know there isn’t such a thing as “Fall Cleaning”, but it seems I have stumbled upon a new thing! Saturday I was fortunate to spend an hour working with folks around the topic of stress. We did a little informational piece about what […]

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Laura L Coaching

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Looking for some additional support on your journey to wellness and improved health?
You’ve come to the right place! Add your name and email below and I’ll send you weekly emails with my latest thoughts of inspiration and things to help you stay motivated!

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You can also join my Wellness Group on Facebook!

Choose a time that works for you!

Here is my calendar. You can select a time when you would like to schedule a free Discovery Call.
Be sure to leave a call back number and feel free to add any other information as well in the meeting notes.
I look forward to speaking with you because this is the exciting first step of your health journey!

Please provide some details about your current type of diet and exercise. Include any goals and dietary restrictions you may have. Your results will be emailed to you and only you. This information is not shared with anyone else.
~Coach Laura L Vinger

Current exercise level

1-2 Hr / Week
3-5 Hr / Week
1 Hr / Day
When I get time
It's been a while
None

Current Condition

Your age?

Where would you exercise?

Home Gym
Outdoors
Fitness center

Fitness Goals

Which aspects of coaching appeal to you?

Previous Diets?

Health concerns?

Name *

Email *

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Group Coaching

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Full Coaching

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Training

Coach Laura L Vinger with exercise equipment

Sign Up Today For

Nutrition Coaching

Please Provide The Following Details
To Help Us Get Started:

Basic Info:

Name *

Email *

Height:

Weight:

Age:

Gender *

* Please complete the Required Fields to proceed...

Goals & Assessments

Goals:

Dedication:

How dedicated are you? Elaborate?

Hurdles?

Have you been training in the past?

Previous Training

Tell me about your previous training. How long, often, levels of coaching, etc

Previous Coaching

Are there are any negative past coaching experiences (or fitness related in general) I should be aware of, please brief me here.

Medical History

Injuries

Have you ever had any injuries? If so, how long ago? What type of injury?

Surgeries?

Have you ever had any surgeries/operations? If so, list date and type?

Do you have any allergies? *

Yes

Allergy Disclosure

Please provide all known allergies.

Do you take any medications? *

Yes

Medication History

Please list any medication you have taken in the last 90 days

History of Diabetes / Glucose Issues? *

Yes

Tell me more:

List any issues with diabetes, blood glucose, A1C or Insulin levels

Heart Health

Have you ever been diagnosed with heart disease or have heart issues?

Health Complications?

Are there any other health complications I should be aware of?

Tobacco Use? *

Zero

Smoke Tobacco

Chewing Tobacco

Vape Products

Nicotine Alternative

Smoking / Tobacco?

How much / often do you use tobacco / nicotine products?

Alcohol Consumption? *

Zero

1-2 drinks per week

3-5 drinks per week

5-10 drinks per week

10+ drinks per week

* Please complete the Required Fields to proceed...

GI Health Questionnaire

Have you been diagnosed with, or experienced, any of the following?
(Please tick appropriate answers)

Anemia

Anorexia

Anxiety

Depression

Chronic Fatigue

Diabetes Type 1

Diabetes Type 2

Endometriosis

Polycystic Ovary Syndrome

Gall Bladder Removal

Graves Disease

Hashimotos

IBS

IBD

Stomach Ulcers

Upper Gastrointestinal System - Do you experience any of the following?
(Please tick appropriate answers)

Belching after eating

Bloating in the stomach region

Heartburn or Acid Reflux

Feel heaviness in the stomach after consuming meat

Feel better skipping meals

Fragile fingernails

Brittle hair

Hair loss

Diarrhea after eating

Undigested food in stool

Frequent use of PPIs or antacids

Bad Breath

Frequent Hiccups

Rosacea

Have you been tested for H Pylori? *

If yes, was the result positive or negative?

How long ago was this and how was it treated?

* Please complete the Required Fields to proceed...

GI Health Questionnaire (continued)

Liver and Gallbladder
Do you experience, or have you experienced, any of the following? (Please tick appropriate answers)

Pain between the shoulder blades

Stomach upset by fatty foods

Loose stools or oily substance in water

Motion sickness

Easily hungover when consuming alcohol

Chronic fatigue or lethargy

General Itchiness/Itchy Palms

Feel sluggish after consuming fats

Feel full for extended period after consuming fats

Frequency of Bowel Movements? *

Frequency of Constipation? *

Frequency of Diarrhea? *

Small Intestine / Microbiome
Do you experience, or have you experienced, any of the
following? (Please tick appropriate answers)

Bloating around the belly button region after eating

Food Allergies / Sensitivities

Hay fever, seasonal rashes or consistent sinus congestion

Diarrhea/Loose stools

Constipation

Food Poisoning or travelers’ bug (even if once)

History of UTI’s

Dry eyes or mouth

Nerve Pain

Pins and needles or sleeping limbs

Brittle hair

Brittle fingernails

Poor facial skin tone (e.g. looking washed out)

Joint pain / Neck stiffness / Knee pain / Finger pain

Tooth or mouth sensitivity

Large Intestine / Acetaldehyde
Do you experience, or have you experienced, any of the
following? (Please tick appropriate answers)

White coating on your tongue

Bloating below belly button

Itchy Inner Ears

Anus or Vaginal itching

History of fungal or yeast infections

Jock itch, dermatitis or, fungal rashes

Excessively bad smelling gas

Frequently pass gas

Born via C section

Stomach cramps

Itchy scalp / dandruff

Low motivation

Overly sensitive to alcohol

Blood in stool

Sugar cravings

* Please complete the Required Fields to proceed...

Female Only Questionnaire

Do you experience, or have you experienced, any of the following? (Please tick all appropriate answers)

Menstrual cramps

Bloating

Short cycles (shorter than 24 days between)

Heavy bleeding

Irregular cycles (longer than 35 days between)

Short, light periods (less than 3 days)

Long periods (5-7 or more days)

Cysts

Oily skin

Acne

Hair growth (face, chest, back, etc.)

Deepening voice

Baldness (excessive hair loss)

Overly sensitive to alcohol

Recent Status

Pain Level

Is there pain in any areas? If so, where. Please describe the pain

Current Complaints?

List any major issues / complaints from health related issues to psychological issues.

Sleep Levels / Quality

How many hours of sleep do you get? (Or rate by quality)

Current Stress Levels (1-10)

Stop and think about it. Are your shoulders relaxed right now?

Cause of Stress?

How long has this been an issue?

Sleep Patterns / Problems

Tell me about your sleep habits / patterns / problems

Any Recent Blood Tests? *

Yes

Please Upload Blood Test Results

Maximum file size: 2 MB

Please email me the results if you don't have a copy

Do you have any skin issues? *

Yes

Please tell me about your Skin issues

* Please complete the Required Fields to proceed...

Nutrition

Food Intolerances

Please list any / all food intolerances

Food Preferences

What foods do you like and dislike?

Are you currently taking any supplements? *

Yes

List Of Supplements

Recent AAS Use? *

Yes

AAS Info

Previous Meal Plans or Macro Counting? *

Yes

Tell me about Meal Plans you have followed or macro counting

48 Hour Food Log

Please give a detailed 48 hour food log (including all food, drinks / water) , Include approx time of consumption and weight. Or list a set caloric/macro intake

Intake history

How long have you been on your current intake? Have you been gaining, losing, or maintaining on this intake?

* Please complete the Required Fields to proceed...

Assessment Metrics

Current work out regimen

Please describe your current regimen including frequency, volume, intensity etc of your training? Include anything that I may find helpful.

Are you doing any cardio at this time? If so, please detail that as well.

Anything Else I should know?

Photos:

Provide front, back, and side angles in shorts or underwear ( Females: sports bra, swim suit top, etc ).

Starting Photos

Maximum file size: 5 MB

Upload up to 4 photos before you started your training if possible

Previous Photo Captions

Give any additional info or caption these photos if needed

Current Photos

Maximum file size: 5 MB

Upload up to 4 recent photos showing where you are at today

Current Photo Captions

Give any additional info or caption these photos if needed

Group Coaching

This Program Includes:

Personalized Habit Tracker
Community Coaching Group via What’s App
Monthly Group Zoom Meeting
Shared Google Drive with additional resources
Monthly email check-ins for progress monitoring, goal setting, and strategy planning.

This Program is $125/ Month

Get Started

Let's Go!

Full Coaching

This Program Includes:

A custom nutrition plan base on your needs
A custom nutrition plan base on your needs
Functional Health Analysis & Complex Case Support
Customized resistance training programming based on goals, experience level, and equipment
Ongoing analysis of training, workouts, and movement relative to your goals via What’s App.
Resistance training programs are sent weekly and adjustments to your program are based on your Bio-Feedback and progress markers

This Program is $400/ Month

Get Started

Let's Go!

Training and
Physical Coaching

This Program Includes:

Customized resistance training programming based on goals, experience level, and equipment
Ongoing analysis of training, workouts, and movement relative to your goals via What’s App.
Resistance training programs are sent weekly and adjustments to your program are based on your Bio-Feedback and progress markers
Training video reviews via WhatsApp
Weekly Check-ins through What’s App
Email support outside of check-ins and WhatApp
Additional guidance calls via Zoom on an as-needed basis

This Program is $185/ Month

Get Started

Let's Go!

Nutrition Coaching

This Program Includes:

Weekly Video Check-ins
Email support outside of check-ins
Additional guidance calls via Phone/Zoom on an as-needed basis
Adjustments to Program Based on Bio-Feedback
A custom nutrition plan base on your needs
Guidance on Peri-Workout Nutrition
Supplement protocols (and discounts on medical grade supplements)
Cardio protocols
Step/daily movement targets outside of cardio and weight training
Functional Health Analysis & Complex Case Support
Lab work reviews via Zoom
Assistance with ordering blood work & Specialty Labs (Dutch, GI Map, etc)
Shared Google Drive with additional resources

This Program is $265/ Month

Get Started

Let's Go!

Resource Article

What Do You Need to Clear Out?

Sign Up Today For

Group Coaching

Sign Up Today For

Full Coaching

Sign Up Today For

Training

Sign Up Today For

Nutrition Coaching

Please Provide The Following Details To Help Us Get Started:

Basic Info:

Goals & Assessments

Medical History

GI Health Questionnaire

GI Health Questionnaire (continued)

Female Only Questionnaire

Recent Status

Nutrition

Assessment Metrics

Photos:

Group Coaching

This Program Includes:

This Program is $125/ Month

Full Coaching

This Program Includes:

This Program is $400/ Month

Training andPhysical Coaching

This Program Includes:

This Program is $185/ Month

Nutrition Coaching

This Program Includes:

This Program is $265/ Month

Please Provide The Following Details
To Help Us Get Started:

Training and
Physical Coaching