Questionnaire

Next Steps:

Fill out the questionnaire to the best of your ability
A coach will review your answers and reach out to schedule a free consultation
The consultation takes place and hopefully you'll decide to work with us
We then help to change your health patterns and help you live a more fulfilling life

Please Fill Out All Boxes

First Name

Last Name

What is your relation to the military?

What is your primary reason for starting an exercise program? (e.g., weight loss, improve fitness, increase strength, stress relief, overall health, etc.)

Have you participated in any regular exercise or physical activity in the past? If yes, please provide details regarding the type, duration, and frequency of your previous activities.

What are your current fitness goals? Be specific and include both short-term and long-term objectives.

Are there any particular areas of your body that you would like to focus on or improve?

Do you have any existing medical conditions or injuries that may affect your ability to engage in certain exercises? If yes, please provide details.

Are you currently taking any medications that may influence your exercise program? If yes, please provide details.

On average, how many hours do you sleep per night?

How would you describe your daily activity level? (e.g., sedentary, moderately active, highly active)

Are there any specific activities or exercises you enjoy or would like to incorporate into your fitness program?

Do you have any time constraints or scheduling limitations that we should consider when designing your workout program?

Have you worked with a personal trainer in the past? If so, why did you stop?

Do you have any additional comments, concerns, or questions regarding your exercise program?

Thanks for submitting!