Training Background
Do you have any past experience working out / training? Select... Yes No
Describe your current activity / expenditure
Health & Medical Screening
These questions help me train you safely. If anything applies, please share details.
Any current or past injuries?
Has your doctor ever said you have a heart condition or high blood pressure? Select... Yes No
Do you feel pain in your chest at rest, during daily activities, or during physical activity? Select... Yes No
Do you lose balance from dizziness, or have you lost consciousness in the last 12 months? Select... Yes No
Have you been diagnosed with another chronic medical condition (other than heart disease or high blood pressure)?
Are you currently taking prescribed medications for a chronic medical condition?
Do you currently have (or have had within the past 12 months) a bone, joint, or soft tissue (muscle, ligament, or tendon) problem that could be made worse by becoming more active?
Has your doctor ever said you should only do medically supervised physical activity? Select... Yes No
Your Goals
Share and describe some of your goals
What obstacles have gotten in the way of your goals? Are they still obstacles?
How many days a week can you commit to working out? Select... 1 2 3 4 5 6 7
Nutrition
Are you also looking for nutrition coaching / a meal plan? Select... Yes No Maybe / Not sure
Your information is kept strictly confidential and used only to coach you safely and build your program. It is never shared or sold.
