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XDRIVE Fitness Questionnaire
Welcome to XDRIVE Fitness!
I'm excited to be part of your fitness journey. Please take a few moments to complete this questionnaire so I can better understand your goals and create a plan tailored to you.
After submitting, keep an eye out for a message or call to schedule a quick 15-minute discovery meeting, where we’ll discuss your goals and how I can help you achieve them!
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Full Name
*
Your answer
Email
*
Your answer
Phone Number
*
Your answer
Age
*
Your answer
Gender
*
Male
Female
Do you have any current/previous injuries or health concerns? If yes, please list them below.
Your answer
What form of training are you interested in?
*
Online Training Program
1:1 In-person or Small Group Training
Small Group Training
Virtual Coaching Sessions
Nutritional Advice
What is your goal?
*
Lose Weight and Burn Fat
Build Muscle and Tone My Body
Improve Overall Fitness and Energy Levels
Other:
Do you currently engage in any form of exercise or physical activity (e.g., gym workouts, sports, yoga, walking, etc.)?
*
Yes
No
How did you hear about me?
*
Instagram
Referral from Friend
Google Search
Dr. Stolberg at Space 314
Other:
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