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Please take a moment to fill out the form below. It really helps me to understand your goals and plan your sessions with me!

Name

First Name

Last Name

Gender

Have you had an injury in the last 3 months?

Yes

If yes, please specify:

Do you have any health conditions that may affect your ability to exercise?

Yes

If yes, please specify:

On a scale of 1-10 (1 being low, 10 being high), how would you rate your current general health level?

Do you currently exercise?

Yes

If yes, please describe the activity / activities that you do for exercise:

If you go to the gym, what specifically do you do there? Weight training, running on the treadmill etc.

What is your main fitness goal?

Are there any barriers you can identify that have stopped you from achieving your fitness goals?

What are your preferred dates / times for sessions?

Is there anything else you'd like me to know?