ENTER INFO
Name*
Mobile number*
Email address*
Zip Code*
Have you worked out consistently (3 to 5 times per week) for 3 yrs?
Yes
No
Never got close
Are you anemic?
Yes
No
When was your last Fitness Test?
Do you have any injuries or discomfort in these areas of your body?*
Neck, Shoulders, Elbows , Wrists, Hands
Mid and Lower Back, Sides, Hip Flexors
Knees, Shins, Ankles, Feet
N/A
How close do you live to FitSquad Studios
0 to 2 miles
3 to 5 miles
6 or more miles
Will you use the Atlanta Beltline to come to FitSquad Studios?
Yes
No
50/50
What workouts do you enjoy?
Weight Training
Cardio Training
MetCon Training
Bootcamp Training
Step Class
Plyometrics
Yoga / Tai Chi / Pilates
Tabada Training
Jogging / Running
Speed /Power Walking
Spinning Class
Hiking / Mountain Climbing
Are you taking a multivitamin or B12 shots?
Yes - Multivitamin
Yes - B12
No - Multivitamin
No - B12
Do you drink wine/liquor? If yes, how often.
1 to 3 glasses a week
4 to 7 glasses a week
8 to 11 glasses a week
12 or more glasses a week
N/A
Are you eating 3 meals per day?
Yes
No
Your Goals?
Reduce stress
Emotional wellbeing
Fit and healthy lifestyle
Help with mental anxiety
Chronic conditions (diabetes, etc)
Lose weight
Muscle strength/density
Flexibility
Other
Are you ready to accept the challenge to build a healthier and more active lifestyle ?*
Yes
No
emergency contact name*
emergency contact phone*
emergency contact relationship*