2. How did you hear about Louis Coraggio's TrampoLEAN program? *
Your answer
3. Where do you currently live? *
Your answer
4. What is your preferred pronoun? *
Your answer
5. What do you most want from having a coach?
Your answer
6. What is your age and D.O.B? (optional)
Your answer
7. What is your height and weight? (optional)
Your answer
8. Do you experience chronic aches/pains and/or do you have medical conditions? If so, please list them and note what tends to make them worse and/or better. *
Your answer
9. Please check your primary personal health / fitness goals. *
Required
10. Do you have access to any fitness equipment? If yes, please list. *
Your answer
11. Please share specific details about your primary health / fitness goals: *
Your answer
12. How long have these goals been important to you? *
Your answer
13. Please list what you find exciting and meaningful about achieving your fitness goals (physical, mental, social, family, personal, professional). *
Your answer
14. Have you tried accomplishing these goals before? If yes, what contributed to your success and what obstacles / challenges did you experience? *
Your answer
15. On a scale of 1-10 how motivated are you in achieving these goals presently? (1 low / 10 high) *
low
high
16. What are the reasons you choose the score you did and not a lower score?
Your answer
17. On a scale of 1-10 how confident do you feel in reaching these goals presently? (1 low / 10 high) *
low
high
18. What areas of health & fitness would you like to build your skillfulness?
Your answer
19. How much sleep do you normally get per night?
Your answer
20. How many servings of caffeine do you normally have per day?
Your answer
21. How many servings of sweets do you normally have in a day? *
Your answer
22. How many servings of vegetables do you normally have per day? Please share any of your favorite veggies. *
Your answer
23. How many servings of fruit do you normally have per day? Please share any of your favorite fruits. *
Your answer
24. Do you tend to eat protein with each meal? Please share your preferred protein sources. *
Your answer
25. Have you had success with any healthy eating plans in the past? *
Your answer
26. Monday - Friday, how active would you rate your daily activity from a scale of 1-10? (1 low / 10 high) *
low
high
27. Monday - Friday, roughly how many hours a day do you sit? Are you up and down often or do you sit for a majority of time? *
Your answer
28. Do you own a fitness tracking device? If so, please list the model. *
Your answer
29. Do you take part in physical activities on the weekends or weekdays? If yes, please specify the type of activity and frequency. *
Your answer
30. Have you tried in-person fitness training in the past? If yes, what did you like and would did you want more of? *
Your answer
31. How many days per week would you like to commit to physical activity and what is your preferred time length? *
Your answer
32. Please check any aerobic activities that you prefer or would like to explore? *
Required
A copy of your responses will be emailed to the address you provided.