Do you currently have or have had any injuries/surgeries? *

Yes

No

If Yes what are they? *

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

Yes

No

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

No

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

Are you currently doing any cardiovascular exercise? *

Yes

No

If so, what’s your usual routine? Type of training, days per week, and session length? *

Have you worked with a personal trainer before? *

Yes

No

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 or in large group classes would you be willing to invest in yourself? *

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

What’s been holding you back from reaching your fitness goals? *

If we helped you get the results you want, how would that impact your life? *

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