KMF 1-ON-1 ONLINE TRAINING QUESTIONNAIRE

1

Name* This field is required.

First Name

Last Name

2

Phone Number* This field is required.

Area Code

Phone Number

3

Location:

4

Instagram and/or Facebook handle:

5

How did you hear about KMonetFitness?

6

Email* This field is required.

7

Gender* This field is required.

8

Age* This field is required.

9

Current Weight* This field is required.

10

Height* This field is required.

11

Which best describes your daily activity?* This field is required.

Sedentary: little or no exercise, desk job

Lightly active: light exercise or sports 1-2 days per week

Moderately active: moderate exercise or sports 3-5 days per week

Very active: hard exercise or sports 6-7 days per week

Extremely Active: hard daily exercise or sports 2 or more times per day

12

Has a medical doctor ever diagnosed you with a chronic disease, such as heart disease, hypertension, high cholesterol, PCOS, endometriosis, diabetes, etc. ? ( If YES, please explain.)

13

Are you cleared by your doctor to participate in a fitness regimen at this time?* This field is required.

YESNO

14

Do you have access to a gym?* This field is required.You will have the option of home or gym fitness programming.

YESNO

15

Have you ever tracked your nutrition/ macros before in a food diary?Calories, Protein, Carbs, Fat

YESNO

16

How would you describe your familiarity with gym-based equipment? Please select one:* This field is required.

I have no clue as to how to use weight training equipment.

I often need assistance with using weight training equipment from gym personnel.

I have some knowledge of how to use weight-training equipment on my own (ex. dumbbells and stationary machinery such as the leg press, lat pull down, shoulder press, leg extensions, etc.).

I am very comfortable with weight training and can use advanced equipment such as barbells, squat rack, leg press, hack squat, cables and its attachments. I am also comfortable with using free weights.

17

What would you like to accomplish within the next 3-6 months?* This field is required.This can be a number on the scale, a look, a feeling, something health related. Please be transparent and give details on what you hope to achieve while working together

18

What have you tried in the past that hasn't worked for you? What is your biggest hurdle in your fitness journey?

19

How committed are you to investing in your best SELF?* This field is required.

I’m highly committed and have the financial means to invest in myself.

I’m committed but do not have the financial means right now.

I’m not ready to commit nor invest in myself at this time, but would be interested in future programs and offers.

20

What is your WHY? In other words, what is the deeper meaning, cause, or belief that is the driving force behind your goals? Tell me why you are fighting for your goals?* This field is required.This is one of the MOST important questions!

21

Do you authorize KMonetFitness to add your email to her email list and coaching wait-list?

YESNO