Virtue Training Online Assessment

1

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

What are your goals? (Select all that apply)

Fat loss

More toned physique

General health/fitness improvements

Muscle gain/increased strength

Improved performance

Other

5

Do you have any pre-existing medical conditions?

6

How would you rate your current diet?

Unhealthy - little structure or consistency

Inconsistent - sometimes good, sometimes poor

Mostly good - generally balanced with occasional lapses

Excellent - consistently great nutrition

9

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

Yes

No

10

What type of training are you most interested in?

1-1 Personal Training

Online Coaching

Hybrid Coaching (online + in-person)

11

Is there anything else you would like us to know?

13

Terms and Conditions* This field is required.