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BUILT by Biron SELF-EVALUATION FORM
Evaluate yourself, your fitness level, and the reasons why you are drawn to a program.
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* Indicates required question
Email
*
Your email
What is your name? (First & Last)
*
Your answer
How often do you workout?
*
0 times a week
1-2 times a week
3-4 times a week
5+ times a week
Other:
What are you looking for in a fitness program? (Check all that apply)
*
At home workouts
Accountability calls
How to videos
Check-ins
Personal one on one sessions
Group Fitness
Workouts for the gym-goer
Other:
Required
What are your personal fitness goals? (Check all that apply)
*
Lose weight
Maintain muscle & weight
Build Strength
Create a routine
Other:
Required
Describe your current fitness routine
*
Your answer
What interests you more?
*
Cardio
Strength Training
Mixture of both
What are you looking to get out of this program?
*
Your answer
Do you have any pre-existing injuries?
Your answer
Gift-cards that interest you:
B/SPOKE
Nutre Meals
Vitalfit Nutrition
Other:
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