12 Week Warrior Sign Up Questionnaire
Welcome to the next evolution of YOU. Let’s get started…
Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Phone Number
*
Email
*
example@example.com
Lifestyle And Health
1. Do you have any current injuries or health conditions
*
Yes
No
2. If "Yes" please state
*
3. How much sleep would you say on average you get each night?
*
4. How would you describe your current daily energy levels?
*
High
Moderate
Low
Training History And Experience
1. How would you rate your current fitness level?
*
Beginner
Intermediate
Advanced
2. Are you currently training?
*
Yes
No
3. If Yes please give a brief description of your current training plan
*
4. Do you have experience with Kettlebell and or Sled work?
*
Neither
Kettlebell
Sled
Both
Goals and Motivation
1. What are your top 3 goals over the next 12 weeks? Why are these important to you right now?
*
2. What's stopped you from reaching your goals in the past? Time? Effort? Knowledge?
*
3. On a scale of 1-10 how committed are you to showing up and putting in the work? (1=Not Really, 10=All In!)
*
Logistics
Please select what package you are interested in:
Online Program
Online Program + Block of 1-2-1 Sessions
Online Program + Weekly Sessions
Give me ALL details please
How many days on a weekly basis are you able to train?
*
3
4
5+
Are you happy with committing to weekly written accountability check ins? This includes taking weekly measurements and taking a set of progress photos at the start and end of the 12 weeks.
*
Yes
No
Final Commitment
Are you ready to give 100% and commit for the next 12 weeks?
*
F*CK YEAH
YEAH!
I Think So
Not Quite Yet I Have Some Questions Still
Submit
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