Designed for you

This form is here to understand you and your goals, ensuring we are the best fit to optimize your results at the current stage in your health journey.

Name

First Name

Last Name

Phone

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Age

Biological sex

Fitness Goals

Lose weight

Build Muscle

Athletic Performance - Want optimal nutrition to support long and intense athletic training

Body Recomp - Lose less than 10 lbs of body fat, while simultaneously build muscle

Improve Health - Improve nutrition and overall health, while maintaining current weight

What motivated you to seek the help of a personal trainer at this time?

Exercise Experience

Have you previously worked with a personal trainer or followed any exercise programs?

Activity level

Weekly workout activity

On a scale of 1 to 10, how would you rate your current fitness level?

Anything else you'd like to share regarding your goals...

Health and Medical History

Do you have any current or past injuries or medical conditions that may affect your ability to exercise?

Are you currently taking any medications that may impact your exercise routine?

Has your doctor recently recommended that you start on a fitness plan?

Any other health concerns?

Availability and Commitment

How many days per week are you willing to commit to your fitness program?

How much time can you dedicate to each workout session?

Equipment and Environment

Do you have access to any exercise equipment or a gym? If yes, please specify.

Nutrition and Lifestyle

How would you describe your current eating habits?

Do you have any specific dietary restrictions or preferences?

Support and Accountability

What level of support do you need from your coach?

Please share anything you feel may be important for us to know!

How did you hear about us?