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New Year Goal Survey
Let's define, then reach your fitness goals this year!
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* Indicates required question
Name
Your answer
Email
*
Your answer
My main goal is:
Weight Loss
Sculpt
Gain Muscle
Weight Loss and Sculpt
Clear selection
My fitness level is:
Beginner (some experience)
Intermediate (experienced but inconsistent)
Advanced (experienced and consistent)
Clear selection
How long have you been working on your biggest fitness goal?
*
1- 6 months
6-12 months
Over a Year
Several Years
My age is
*
Under 25
26-35
36-45
46-55
Over 55
Do you own any of the following?
*
(Check all that apply)
Stability Ball
Dumbbells or Weights
Resistance bands
Bench or Step Bench
Treadmill
Bike
Other:
Required
If your goal is weight loss, how much do you want to lose?
*
less than 10 pounds
10-25 pounds
more than 25 pounds
Choose ONE area that you need the most help!
*
Training
Nutrition
Motivation
How many days a week COULD you exercise?
*
(Be realistic!)
1-2 days
2-3 days
3-4 days
4-5 days
5-6 days
Everyday
On days you exercise, what is the average time you can spend?
*
(Be realistic !)
less than 20 minutes
30 minutes
45 minutes
60 minutes
As much as I want
What is your biggest fitness obstacle?
*
Check all that apply
Not sure what exercises to do.
Not sure what I should eat.
I feel lost in the gym.
I get bored easily.
Lack of motivation.
Lack of accountability and support.
I need a workout plan.
Don't have enough time.
Food cravings or overeating.
Frustrated with little or no results.
I'm too tired.
I need a trainer to tell me what to do.
I need a food plan.
Other:
Required
How has your biggest fitness obstacle kept you from reaching your goal?
optional
Your answer
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