Lima Wellness Pros Pain-Free Performance Online Coaching
Your First Step Toward Pain-Free, Stronger Movement
Welcome to Lima Wellness Pros—so glad you're here. This quick 2–3 minute survey helps me understand your goals, current routine, and any limitations so I can confirm fit and outline your first steps. Share what’s most relevant; your responses stay confidential.
Full Name:
*
First Name
Last Name
Phone Number
Please enter a valid phone number.
Email Address:
*
example@example.com
Preferred Method of communication.
(e.g., email, text, phone call)
What are your primary fitness goals?
Please be specific, e.g., lose 15 pounds, run a 5k, increase energy levels, build muscle, improve flexibility
On a scale of 1 to 10 (where 1 is not at all and 10 is extremely important), how important is achieving these goals to you?
Worst
1
2
3
4
5
6
7
8
9
Best
10
1 is Worst, 10 is Best
Briefly describe your current fitness routine (if any):
How many days per week are you realistically able to dedicate to exercise?
Do you currently experience any recurring pain or injuries that affect your exercise?
Have you previously invested in coaching or fitness programs? Briefly describe:
How did you hear about Lima Wellness Pros, and why now?
Submit
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