Lifestyle Questionnaire
Please fill out this form 24hrs before your first session.
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Email *
What is your current weight? *
What is your goal weight in 3 months?
How tall are you? *
Please list all the types of physical activity / exercise / athletic training you do, and how much / often. *
Are you a professional, amateur, and / or devoted recreational athlete? Do you compete in any way or on sports leagues? *
Adding up all your activities, approximately how many hours per week do you spend doing intense activity (hard to have a conversation while exercising)?  *
Adding up all your activities, approximately how many hours per week do you spend doing restorative, rehab, and / or recovery
activities? (yoga, corrective exercises, hydrotherapy, heat therapy) *
In general, what are your goals? (Check all that apply.)
 *
Required
Right now, which of these is your top priority? Why? *
If “Improve athletic performance” or "improve physical fitness" is one of your goals, please tell me more about what that might look like for you? *
What specific indicators would tell you that you’re improving in this area? *
Right now, on a scale of 1-10, how would you rank your overall fitness? *
Horrible
Awesome
Please explain your number choice from above, below *
Right now, on a scale of 1-10, how would you rank your energy for and interest in training?  *
No Energy
LET'S GO!
Please explain your number choice from above, below *
What would you like to gain or receive in your personal training session(s)? *
A copy of your responses will be emailed to the address you provided.
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