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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

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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