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Fitness Questionnaire?
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* Indicates required question
Email
*
Your email
Name
*
Your answer
Age & Birthday
*
Your answer
Gender
Male
Female
Clear selection
Height
Your answer
Weight?
*
Your answer
Phone number
*
Your answer
Lifestyle + Activity Levels
*
Sedentary
Slightly Active
Moderately Active
Extremely Active
Health restrictions?
*
Your answer
Any dietary struggles(ex. overeating, undereating, meal prep, past eating disorders etc.)
Your answer
Do you have mobility or movement issues/restrictions? If so explain.
Your answer
Current or past injuries?
*
Your answer
Any pre-existing conditions (asthma, high blood pressure, etc.)
*
Your answer
Do you use any supplements?
Your answer
Occupation? (If Strenuous explain)
Your answer
Do you work? If so how many hours per week?
Your answer
Fitness Goals:
*
Your answer
Any experience exercising? If yes, please describe Beginner (<1 year of training) Intermediate (1-2 years of training) Advanced (2+ Years of training)
Your answer
How many days can you train?
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Required
How long can you train for?
*
30 minutes or less
45 minutes - 1 hour
1-2 hours
Type of exercise regiment?
Bodyweight
Weightlifting
Running
Unsure
Other:
Clear selection
Location of appointment?
*
Private
Gym
Would you be interested in Fitness Workshops?
(Select all that apply)
*
Strength 101: Learn about being strong and how to get stronger.
Mobility 101: Learn about mobility & flexibility and how to restore it.
Weight loss 101: Learn the different techniques to dropping pounds on the scale.
Bodybuilding 101: Learn how to grow your muscles.
Other:
Required
Please tell me a hobby, or interest of yours. I’ll start👇🏾
(I love my Nintendo switch and a good book)
Your answer
Comments, Questions before our initial consultation please share below.
Your answer
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