• H.F. Consultation Survey

  • Which best describes you?*
  • Are you Ready to change for the better of your health?*
  • Are you interested in a holistic health program, service and/ or challenge in the following areas of health and fitness? I.e. physical fitness, nutrition , social/mental health, spiritual/ (greater purpose) ?*
  • Should you choose to address and pursue your Health and Fitness Goals with us which one would you prefer the most?*
  • How many days a week would you like accountability, support and/ or a level of contact of Coaching and /or Consulting attention should you find yourself working with us?*
  • In the last 3 months have you exercised at least 3 days/ sessions a week for at least 30 mins a day while using the exercise guidelines from a qualified Health professional, institution or entity?*
  • How will your life be different for the better when you achieve your fitness goals?*
  • Ever Work With a trainer before? How was your experience?*
  • Could Time interfere with your Health & Fitness goals ?*
  • Could Money interfere with your health and fitness goals?*
  • Could Energy interfere with your health and fitness goals?*
  • Could support interfere with your health and fitness goals*
  • Could the lack of regular contact with your Health Coach/ Trainer interfere with your health and wellness goals due to not being able to meet with them in person?*

  • If  wasn’t a problem to your fitness goals would there be anything else? Y or n 

  • Do you have a home gym with exercise equipment? Or a gym membership?*
  • How many days of a week and hours can you work on your health and fitness goals for yourself outside a 1 on 1 session with your trainer?*
  • How many days a week on average did you need to commit on your latest big accomplishment? (I.e College, military boot camp, job training , etc)*
  • Why are you taking steps towards your health goals “now “ versus a week or more ago (I.e. why is this good timing for you to take action to be in better health at this point in your life? )*
  • Which one best describes you?*
  • Is there any immediate ongoing consequences that you are reaping everyday your health goals don’t have progress and/ or not yet?*
  • What category do you fall in?*

  • Readiness for Change Questionnaire

  • I'm sorry we do not have a program for you please reach out to you coach.

  • optional survey

  • Should be Empty: