• Client Questionnaire

  • Format: (000) 000-0000.
  • Which of our services are you interested in?
  • How did you hear about us?
  • If you were able to achieve your goal, would you continue to workout?*
  • When is your birthdate?
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  • I would love to get to know your current state of health and your experience with exercise. This will help me determine how I can best help you achieve your movement goal.

  • Are you currently dealing with any injury or chronic pain?*

  • Now, I would love to get to know your current state

  • Do you have any previous cardiac issues?*
  • Do you have a specific timeline for these goals?*

  • We spend 30% to 50% of our day at our jobs. Understanding that environment is critical to helping you achieve your goal

    These next questions will dive into that area of your life.
  • What best describes your day to day activities at work?*
  • How flexible is your schedule and where can you find yourself fitting your health and fitness into your routine.*

  • Thank you so much for your time. I will go through your questions and contact you within the next seven days to schedule a zoom call and talk about how we are going to get started on helping you achieve your brand new lifestyle through movement

  • Should be Empty: