Sapp's Fitness Garage Pre-consultation Questionnaire

Sapp's Fitness Garage

Pre-consultation Health & Fitness Questionnaire
Name (you want to be called by your coach) *

First Name Last Name
Email *
example@example.com
Phone Number *
Please enter a valid phone number.
What is your age?
How did you learn about us?

Referral Sales Email Social media Sales Call Google search Drive-by Our website Other
Which of our services are you interested in? Select all that apply.

General Gym Membership Virtual Fitness videos (at-home) Small Group Training Nutrition Coaching Personal Training (Exercise only) 12 Wk Mind-Body Makeover Challenge Holistic Health & Fitness (includes exercise, nutrition, mindset renewal, positive change habits) Other
Your Goals & Desires. Select one or two goals that best apply to you.

Lose weight. I want to lose body fat and overall body weight. Build muscle. I want to build muscle and increase overall body weight. Athletic performance. I want to improve athletic performance with minimal weight change. Body Recomposition. I want to improve body composition by simultaneously building muscle and losing fat. Improve health / feel better. I want to improve overall health, energy, vitality with minimal weight loss.
Exercise. How would you rate your knowledge and/or experience with proper cardiovascular exercise & strength training?

5 - Very experienced. I've had trainers in the past and/or I've been highly involved in athletics or fitness. 4 - Fairly well. I am familiar with the nuances of cardio and strength training, but I still could use guidance and support to get me to my goals. 3 - Somewhat. I've followed other plans before, but I don't really understand how to put together my own program. 2 - Very little. I see what others do, but I definitely need help knowing where to start. 1 - Nothing. I'm completely new to all of this!
Exercise. Which best describes your current weekly workouts?

Very intense. 7+ hours of stenuous exercise. Intense. 4-6 hours of moderate to strenuous exercise. Moderate. 3-4 hours of moderate to gentle exercise. Light. 1-3 hours of gentle to moderate exercises. Very light. Almost no purposeful exercising.
Exercise Challenges. Below is a list of common obstacles that people face regarding movement and exercise routines. Select all the boxes that connect to your current exercise habits and challenges.

Feeling unsure what to do. Generally feeling uncomfortable working out, especially working out intensely (e.g. sweating) Lack of a place where I feel comfortable working out. Lack of people who I feel comfortable working out with. Lack of time to exercise. Lack of preparation / time management that prioritizes regular movement. Lack of space to move more. Lack of energy to exercise. Lack of motivation / feeling unsure about why movement matters for me.
Nutrition. How would you rate your knowledge and application of proper eating and nutrition?

5 - Very experienced. I've researched and followed numerous nutrition plans with success. 4 - Fairly well. I've researched a lot about nutrition and tried numerous programs, but I still struggle with being consistent. 3 - Somewhat. I know what I shouldn't eat (like fast food and cupcakes!) and a few things that I should eat (such as vegetables), but I'm really not sure about what I should eat to be healthy and fit. 2 - Very little. I know a few things (like I should eat my veggies), but other than that, I need major help. 1 - Nothing. I'm completely new to all of this!
Nutrition Challenges. Below is a list of common obstacles that people face when it comes to making healthy, nutritious choices. Select all the boxes that connect to your current eating habits and challenges.

Feeling unsure about what to eat. Feeling unsure about how much to eat. Lack of meal planning or prep. Not having enough time to cook. Not feeling confident with how to prep or cook foods. Drinking too much alcohol. Struggling with impulses or cravings around food. Emotional eating or stress eating. Eating when I'm not hungry. Eating until I'm overfull / stuffed. Eating too quickly. Feeling unsatisfied by food and always hungry. Not feeling hungry. Obsessive or anxious thinking about food. Feelings guilt / shame related to eating. Peer pressure to eat (or not eat) a certain way. Lack of access to healthier foods. Easy access to trigger food / irresistible food.
Nutrition. Per week, about how many meals do you eat out?
Stress. Currently, what's your typical stress level at home?

High. I'm always under pressure at home. Medium. Normal everyday stress such as chores / responsibilities. Low. Home is pretty relaxed.
Stress. Currently, what's your typical stress level at work?

High. I'm always under pressure at work. I frequently work overtime. Med-high. I'm regularly under pressure and sometimes work overtime. I have a few light days here and there. Medium. Normal work pressure, but I get to leave the stress behind me at the end of the work day. Low. Work is pretty relaxed.
Stress. When stress gets high, how reliably are you able to calm yourself down?

Calming down is difficult. Moderate. I have developed some strategies to help me calm down. Calming down is easy.
Sleep. Do you get enough sleep and feel energetic most days?

High. I get enough sleep. I wake up feeling refreshed and energetic on most days. Medium. Low. I don't get enough sleep. I wake up most days feeling tired and groggy.
Mindset. How do you typically respond in the face of a challenge?

Positive. Challenges are how I thrive and grow. I actively seek out new challenges. Neutral. Negative. I like to stay at home. I avoid new challenges.
Your overall health. Do you have a history of dramatic body changes, health conditions, or injuries that affect your health and fitness? Briefly explain.
One of our coaches will contact you soon to schedule your initial fitness consultation.

At this consultation, we will discuss your goals, take your measurements, and take BEFORE photos of you so that your progress can be tracked throughout the program.

Thank you for your information, and we look forward to seeing you soon!
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