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Pre-Consultation Fitness Survey:
Fill out this survey to the best of your ability in order to evaluate your current fitness/nutritional state. We will discuss more in detail at your in person or virtual consultation.
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Email
*
Your email
Phone number
*
Your answer
Name
*
Your answer
Select boxes below that describes your areas of focus you strive to accomplish in your fitness life.
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Workout on a consistent basis
Be able to be active with my family without instantly getting tired
Clean my diet up to help maintain good physical health
Tone up my upper body
Tone up my lower body
Lose body fat
Grow and enhance my abs
Tone up my glutes
Required
Summarize your primary fitness goals? (i.e > 10 lbs loss, muscle gain, improve cardiovascular health, increased flexibility)
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Your answer
What types of physical activities do you enjoy? (i.e running, walking, lifting weights, training, playing sports etc)
Your answer
How many days a week are you willing to commit to exercising?
Your answer
Do you prefer to be involved in group training sessions or one-on-one sessions?
Your answer
Are there any dietary considerations or restrictions that you have?
Your answer
Are you open and willing to remove certain foods from your current diet (i.e red meat, sweets, sugars, junk food, fast food, fried food, etc)
Yes
No
Clear selection
How many meals per day do you currently eat?
Your answer
Do you have any health conditions that limit you from increasing different types of food intake or decreasing different types of food intake?
Your answer
What level of intensity of training are you interested in?
Low
Medium
High
Clear selection
Are you ok with video footage being recorded/posted of your workouts?
Yes
No
Clear selection
If there's any other pertinent information you would like to include in regard to your current physical health, please include below.
Your answer
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