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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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