Virtue Training Online Assessment

1

Full Name* This field is required.

First Name

Last Name

2

Phone number* This field is required.

3

Email address* This field is required.

example@example.com

4

Gender

Male

Female

5

Age

years

6

Weight

KG

7

What is your current occupation?

8

What are your daily activity levels like?

Low (minimal activity)

Moderate (light activity such as walking)

High (very active)

9

Do you have any pre existing medical conditions?

10

If you have any conditions/injuries, please list them.

11

How would you rate your current diet?

Unhealthy

Sometimes good, sometimes bad

Moderately healthy

Very healthy

12

How often do you drink alcohol?

Never

Occasionally

Weekly

Multiple times per week

14

Which of following goals best fit in with your goals?

General health/fitness improvements

Fat loss

Muscle gain

Improved athletic performance

Increased strength

Improved cardiovascular fitness

Other

15

What is your main goal with your training?

17

Have you trained with a personal trainer or online coach previously?

Yes

No

18

At what time during the day would you prefer to train?

Morning

Afternoon

Evening

20

What type of training are you most interested in?

1-1 Personal Training

Online Coaching

Hybrid Coaching (mixture of online + in-person)

Group Training

1 month Online Coaching trial

21

Is there anything else you would like us to know?