Assessment

Sign-Up – Assessment Quiz

You are One step closer… Please fill out the quiz below
First Name*
Your First Name
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Last Name*
Your Last Name
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Email*
Your E-mail Address
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Phone*
Your Phone number
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Address*
Street Address
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Street Address Line 2
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City*
City
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County*
County
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Post Code*
Post Code
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Date Of Birth*
Select a date
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Height*
in cm
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Weight*
in kg
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Which service(s) would you like to apply for?*

Select all that apply.
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What are your primary goals?

Select all that apply. If you have other goals in mind, you can always let your trainer know.
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To reach my goals, I’m also interested in:

Select all that apply. In addition to personal training, your trainer can help you build a comprehensive health and fitness program.
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What days of the week do you prefer to work out?

This helps us match you with trainers who fit your schedule.
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What’s your favourite time of day to work out?

Choose one for now. This helps us match you with trainers who fit your schedule.
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What are your favourite ways to work out?

Choose as many as you’d like.
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Please read the questions carefully and answer each one honestly: check YES or NO.

Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor?*
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Do you have bone or joint problem (for example, back, knee, or hip) that could be worsen by a change in your physical activity?*
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Do you know of any other reason why you should not do physical activity?*
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If Yes, please add the rason?
(optional)
If Yes, please add the rason?
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Have you ever had an online coach or Personal Trainer before?*
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Briefly describe your health and fitness goals?*
Briefly describe your health and fitness goals?
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Any strange nutrition restrictions? (Allergies, etc.)*
Any strange nutrition restrictions? (Allergies, etc.)
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What do you currently struggle with the most? Nutrition, exercising, accountability, etc...Why do you think I can help you with that?*
What do you currently struggle with the most? Nutrition, exercising, accountability, etc...Why do you think I can help you with that?
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Do you have access to a gym or do you prefer home workouts?*
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Any injuries or limitations that we should know about?*
Any injuries or limitations that we should know about?
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On a scale of 1 to 10, how committed are you to achieving your fitness goals?
(optional)
Any injuries or limitations that we should know about?
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Are you ready to crush this? Like, are you 100% ready to commit to the program and absolutely kill this together?*
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Signature

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