Needs Assessment Form

The Basics

Who you are and simple stuff...
Full name

First NameLast Name
Where do you live?

COUNTY OR TOWN ONLY...

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Email
example@example.com
Introduction - Welcome to ARISE Fit&Performance

This is the only time we will kind of ask those surface level questions because look they matter too! We promise, it's get more exciting soon.
Where did you hear about us?
Let's Get Going

Some basic lifestyle items first...
How good would you say your diet is?
How would you rate your rest/sleep?
How stressful is your job/lifestyle?
Keep Moving

Let's dive into the real support structures..
Out of 5, how fit do you feel now?
And how strong do you feel?
How important is it for you to create change?
What experience do you have in health & fitness?
How long have you been thinking about getting into some fitness (or changing who you do your fitness with)?
What has stopped you from taking action?
What two of the below would you like to achieve?

Other
Outline your main goal, your main reason for being here?
What does that goal mean to you?
How important is your goal?
Do you have a timeline to achieve your goal?
What really motivated you to come here today?

Other
Of the Below, what two are most important for you?

Other
Membership Options

3 questions
Are you looking to find out more about AFP and your training options?

Are you willing to commit, change habits and push to get the results that you want?

The Basics