Add your info
First and last name*
Birthday*
Mobile number*
Email address*
Address*
Apartment, suite or unit number
City*
State*
Postal code*
Height*
Current Weight*
Goal Weight*
Do You Have Any Medical Conditions?
What is your Main Goal? (check all that apply)*
Weight loss
Build Muscle/Drop Body Fat
Vitality and Health
Performance
Improving Strength
Current Fitness Level*
Beginner - less than 6 months of consistent exercise
Intermediate - between 6 and 12 months of consistent exercise
Advance - over 12 months of consistent exercise
How long have you wanted to achieve this goal?*
Less than 1 year
2 to 5 years
More Than 5 Years
Not sure
WHY is this goal important to you? How will it change your life?*
Do you have any additional goals?*
Stress Reduction
Posture
Cardiovascular Health
Quality of Life
Flexibility/Mobility
Self Esteem
Other
On a scale of 1 to 5, how ready are you to adjust your lifestyle (nutrition, sleep, stress management, etc) to achieve your goal(s)?*
1
2
3
4
5
Have any of the following prevented you from achieving your goals in the past?*
Boredom
Lack of Accountability
Lack of Knowledge
Loss of motivation
Trying to do too much
Did not have a program
Procrastination
Injury
Other
Which could possibly hold you back from training?*
Mindset
Time
Budget
All of the above
Which style of Coaching do you prefer?*
The Hype Man - Inspiring and Supportive
The Coach - Educating and Motivating
The Drill Sgt - Hardcore and Straight to the point
How many days per week can you commit to exercise?*
1
2
3
4
5
6
7
Which day(s) work best for you?*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday