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SRG HEALTHYLIFT PROGRAM
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Name
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Age
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Phone
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Email
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What is your ultimate goal?
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Do you have or recently had an injury/illness, are you on any medications?
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Where are you now? (Type of exercise/activity)
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What are your expectations from this program?
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How many times per week would you like to exercise?
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How long do you have available to spend on each exercise session?
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What diets or exercise programs have you tried in the past? Did they work/fail and why?
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How do you sleep on a normal basis and are there any particular times you wake up during the night?
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Please describe a typical days eating (Breakfast, lunch, dinner, snacks and water intake)
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What are your biggest barriers to achieving your goals?
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What equipment do you have access to? Bodyweight/Home gym/Commercial gym
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What style of training do you enjoy the most? weights/circuits/HIIT, etc
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