Fitness Survey
Welcome! Once your application is submitted, I will be reaching out to you over the phone to discuss your personalized workout plan, diet, & fitness goals.
Your Name
*
First Name
Last Name
Email Address
*
Phone Number
*
Please enter a valid phone number.
1. What level do you consider your weight lifting experience?
Beginner
Intermediate
Advanced
2. How many days a week do you do exercise?
I don't
1-2 days
3-5 days
6+ days
3. How much time do you spend for a regular exercise?
0-30 mins
30-60 mins
60-90 mins
More than 90 mins
4. Where do you prefer to do exercise?
Gym
Home
Fresh air
Other
5. What type of exercises do you often do? You can choose more than one.
Cardio
Crossfit
Weight Lifting
Powerlifting
Interval Training
Other
6. What is your main goal doing exercises?
Lose weight
Gain weight
Maintain weight
Build muscles
Stay fit
Other
7. Do you have access to a gym?
Yes
No
8. What is your age?
*
9. What is your weight?
*
10. What is your height?
*
11. What is your current body fat? If unknown type "N/A"
12.What is your fitness goal(s)
13.Any injuries or areas of discomfort while training that I should be aware of?
Submit
Should be Empty: