Interested in Customized Fitness Program
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First Name *
Email *
Phone Number
What motivated you to reach out? What health goals would you like help accomplishing? *
Thinking question:) Why are these goals important to you now? How will it impact your life if you don't achieve them? How will it impact your life if you do achieve them? *
What will you like to have achieved 3 months from now? Be specific, i.e., walk up a flight of stairs without getting winded; build up endurance for hiking; bicycle without back pain. Etc. *
Do you have any injuries which will need consideration when building your program? *
Have you worked with a personal trainer/coach before? How was your experience? What were some of your favorite exercises and methods of training? *
What has kept you from adhering to a work-out routine in the past? *
On a scale from 1-10, how committed are you to achieving your health & fitness goals? *
Tell me briefly about your eating, sleep habits, and stress levels; i.e., Do you have a consistent sleep/wake cycle? Do you sit down for a meal, or eat in a rush? How often do you consume processed foods and drinks? Do you practice any stress coping strategies?
Do you own or have access to exercise equipment? If so, what kind? Are you interested in training in-person or online/virtually?  *
Where did you hear about my services?
Specific questions you'd like me to answer. *
Time Investment: What days and times of the week will you schedule aside for your routine? (think of what you can realistically commit to) *
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