Tell Me About Yourself

What Is Your Age?
12-19
20-30
30-40
None Of These
Whats You Gender?
Female
Male
Other
Please Provide The Email Address You'd Like To Contacted on
How Much Do You Weigh (In Pounds)
100-120
120-140
140-160
160-180
180-200
200+
Less Than 100
What Is Your Fitness Goal?
 
Lose Weight
Gain Muscle
Tone Up
Other
Whats Your Activity Level?
Light (Able to hold a conversation / Office work)
Moderate (Challenging, Heavy Breathing / On your feet a lot)
Difficult (Sweating, Elevated heart rate, Can't hold a conversation / Hard labour)
Intense (Very Focused, Giving it your all / Intense labour, Nonstop moving)
How many days a week would you like to Work Out?
1-3
4-6
Everyday
How Would You Describe Your Eating Habits?
Very poor (lots of fast food, soda, etc. 7 days/week)
Decent (Some Veggies & Fruits, Mostly Fast Food, Sugary/Bad fats & carbs, etc. 3-4 days/week)
Pretty Good (Mostly Fruit, Veggies, Lean meat & Carbs with occasional Sugary/Bad Fats & carbs 1-2 times/week)
Perfect! (Organic, Lean Proteins, Healthy fats & carbs, etc.)
What Type Of Training Are You Interested In?
Online
In Person
Both
Are You Interested In Taking Supplements?
Yes
No
Maybe
Do You Have Any Current Knowledge Of Fitness or Nutrition
None at all
Some
Yes, I know lots!
If you Have Any Health Problems And/Or Allergies You Feel I should know About, Please List Them Below
If you have any other information you feel is important please list it below. (Examples: other fitness goals, measurements & exact weight, Other ways to contact you, etc.)
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