Form &#8211; Мy Fitness Anywhere

1

Do you have access to a commercial gym or prefer working out at home?* This field is required.

Gym access

Home workout

2

What kind of equipment do you have?

Dumbbell

Barbell

Machine

Cable Machine

3

What is the total weight of the dumbbells you have? (in pounds or kilograms)

4

What is the total weight of the plate you have? (in pounds or kilograms)

5

Please state which machines you have.

6

Which sex best describes you?* This field is required.

Female

Male

7

What is your age?* This field is required.

Under 15

15-50

Above 50

8

Are you pregnant?* This field is required.

Yes

No

9

What stage of pregnancy you are in?

First Trimester

Second Trimester

Third Trimester

10

How tall are you?* This field is required.

Please enter a number

11

How much do you weigh?* This field is required.

Please enter a number

12

What is your fitness level?* This field is required.

Basic (New to workouts or light activity)

Intermediate (Regular workouts with some experience)

Advanced (Consistent, intense training experience)

13

What is your fitness goal?* This field is required.

Fat loss (Reduce body fat effectively)

Build lean muscle (Gain strength and muscle definition)

Body recomposition (Build muscle while losing fat)

14

How many days per week can you commit to the gym?

15

Name* This field is required.

First Name

Last Name

16

Email* This field is required.

example@example.com

17

Phone Number (optional)

Please enter a valid phone number.