JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Weights and Wellness Inquiry
Congrats! Just by clicking on this form, you have taken a huge step toward a better you!! Please fill out the following questions so I can better understand how to help you on your health and fitness journey!
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
What is your name?
*
Your answer
What is your Instagram handle?
*
Your answer
What is your current fitness level?
*
Beginner
I sometimes workout
I regularly workout
I have been working out for a long time
What is your favorite type of workout? (If you have one)
*
Your answer
How serious are you about achieving your health goals?
*
I can't wait!
Nervous but I know I need change
I need more information
What type of equipment do you own?
*
Your answer
How much time a day can you commit to working out?
*
Your answer
Do you have any injuries or allergies?
*
Your answer
What's your biggest struggle with fitness and/or nutrition?
*
Your answer
How much money do you usually spend on eating out-coffee, fast food, etc? (per month)
*
Your answer
Are you willing to invest in your health?
*
Your answer
Please share any other information you might want me to know about you and your goals:
Your answer
Send me a copy of my responses.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
