Free Questionnaire

1

Your name* This field is required.

2

Gender* This field is required.

Male

Female

Other

3

What's your age?* This field is required.

4

What's your weight (in lbs or kg)* This field is required.ex. 190lbs or 86kg

5

How tall are you (in cm or ft)?* This field is required.ex. 179cm or 5.9ft

6

What best suit your needs?* This field is required.

Just a custom program for fitness and health

A custom program + meal plan and nutrition suggestions

A custom program + meal plan and nutrition suggestions + video training

In-person personal training

Other

7

Are you located near Richmond BC, Canada (Greater Vancouver)?* This field is required.

YESNO

8

Can you come down to Richmond for a consultation?* This field is required.

Sure

No

9

If not what's stopping you?ex. too far

10

Do you have any prior experience with weight training?* This field is required.

Really experienced (1 year or more of experience)

intermediate (6-12 months of experience)

Some what experienced (more than 3 months and less than 6 months of experience)

Beginner (less than 3 months of experience

None at all

11

Do you have any sports or exercise experience (aside from weight training)* This field is required.ex. I used to play basketball or I used to jog a lot

12

How often do you exercise?* This field is required.

1-2 times per week

2-3 times per week

4-5 times per week

Everyday

None at all

14

Can you lose or gain weight easily?* This field is required.

No (its hard to gain weight)

No (its hard to lose weight)

Yes (I can lose weight easily)

Yes (I can gain weight easily)

Other

15

Email* This field is required.

example@example.com

16

Email* This field is required.

example@example.com

17

Email* This field is required.

example@example.com

18

Email* This field is required.

example@example.com