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Fitness Journey Questionnaire
First name
Last name
Email
Phone
What are your major goals / targets? (you can select more than one)
*
Weight loss
Weight gain
Aerobic Conditioning
Muscular endurance
Muscular strength
Nutrition/diet
Are there any body parts in particular that you wish to train? (you can select more than one)
*
Legs
Arms
Bum
Stomach
Chest
Other?
If you currently exercise, would you say your routine is:
*
Ineffective
Effective
Very Efeective
How long after beginning your training do you expect it to take to begin to see changes in your body?
*
1 week
2 weeks
4 weeks
6 weeks
2 months
3 months
6. How would you describe your current knowledge of exercise and fitness training?
I am not familiar
I have little experience
I am quite experienced
I am an expert
What are your top three fitness/nutrition goals
What will motivate you to achieve your goals?
What, if any, are your expected barriers towards your exercise program?
How motivated are you to achieving your goals?
Not a priority
I need motivation
Good
I'm ready
I'm soooo ready!!
Start Your Journey
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