Welcome

How active have you been in the past 6-12 weeks?*

How would you describe your current diet?*

On average, how much sleep do you get per day?*

On average, how often do you consume alcohol per week?*

How willing and committed are you to making a lifestyle change, including changing your diet habits and exercise routine?*

How many workout sessions per week are you willing to dedicate to personal training?*

Are you doing home workouts or training at a gym?*

Rate your experience with weight training.*

What equipment do you have access to? Please select all that apply.

If Other - Please Specify

What made you decide to hire a personal trainer?*

What is it that you want to accomplish by hiring a personal trainer?*

Have you had an online personal trainer in the past? If so, describe your experience.*

What current obstacles are keeping you from reaching your goals?*

What injuries, if any, have you had in the past?*

Name*

First Last

Email*

Phone*

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