Help us get to know you better!

Est. Time to Complete: 5 Minutes

First Name *

Last Name *

Email *

Phone *

How'd you hear about us? *

Instagram
Referral
Google
Website
Community Event
Online Ad
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Do you currently have or have had any injuries/surgeries? *

Yes

If Yes what are they? *

Are there any health-related contraindications (CVD) or prescribed medications that would affect your physical fitness? *

Yes

If Yes how would you describe it? *

What struggles/challenges are you currently facing in regards to your Health & Fitness? (time, accountability, nutrition, etc) *

Are you currently lifting weights or doing body weight exercise? *

Yes

If so, what type, how many days, and how long? *

Are you currently doing any cardiovascular exercise? *

Yes

If so, what type of cardio do you do? (Running, Walking, Swimming, HIIT, Cycling, etc.) And how many days a week do you complete your cardio sessions? *

Have you worked with a personal trainer before? *

Yes

Where do you see yourself 3–6 months from now, what would you like to accomplish, and how would you like to feel? *

If you feel the strategy we provide you whether it be working privately with a coach would you be willing to invest in yourself? *

What’s driving you to make a change right now? *

Thank you for completing our questionnaire. Click Submit to send your responses. You’ll then be redirected to our Discovery Call page to schedule a time to review your answers with us.