Questionnaire

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Compass Strength + Wellness
Full Name

First NameLast Name
Date of Birth

MonthDayYear
List any/all reasons why you are interested in working together: (ex: gain muscle, combat aging, establish some healthy movement routines, to support another physical activity or sport, rehab an injury, learn a new modality, etc)
List any current activities you currently participate in if there are any:
Describe any past experience with exercise or sports:
Do you have any limitations, injuries, or illness of any kind that you need to take into consideration?
Would you currently say your daily activity level is: sedentary, moderately active, very active, somewhere in between?
Please list anything else that would help to create the most effective and applicable program for you (ex: time constraints, wanting to focus on a specific thing, challenges with anything in particular, incorporating anything that’s important to you, etc…
Are there any other concerns or thoughts that you want to share that are affecting your overall sense of well being?
Describe any past experience with exercise or sports:
How ready are you to commit to a training program to fit into your schedule?
Should be Empty:

Apply to train with me!