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Coaching Intake

Online Coaching Intake

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Question 1 of 10

How old are you?

A

20-34 years old

B

35-50 years old

C

51-64 years old

D

65 or older

Question 2 of 10

What is your height, weight, and gender ?

Question 3 of 10

What is your main fitness goal?

A

I want to gain muscle and strength.

B

I want to lose weight and tone up.

C

I want to improve cardio health, endurance and stamina.

D

I want to improve mobility and get out of pain.

E

I want to improve overall health and longevity.

Question 4 of 10

What is your experience level with exercise?

A

I'm a beginner or very little experience.

B

I've worked out before and have some experience.

C

I have a lot of experience.

Question 5 of 10

In the last 3 months, how have you been progressing toward your goal?

A

I am making progress, but slower than I want.

B

I made some progress but hit a plateau.

C

I haven't made any progress.

Question 6 of 10

How is your exercise going?

A

Im not gaining enough muscle or strength.

B

Ok, but I need a change or new direction.

C

I don't enjoy my workouts or get bored.

D

I struggle with low energy, motivation, or consistency.

E

I don't currently exercise.

Question 7 of 10

How many days per week can you commit to training?

A

2

B

3

C

4

D

5 or more

Question 8 of 10

What equipment do you have access to / prefer to train with?

(Select all that apply)
A

Full Gym

B

Kettlebells or Dumbells

C

Bodyweight

D

Other (explain in next question)

Question 9 of 10

Is there anything else you want to tell us? Pre-existing conditions? Contraindications? Other?

Question 10 of 10

What is your email address to follow up?

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