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HEALTH AND FITNESS QUESTIONNAIRE

Welcome, Dad!

We want to get you on the road to feeling your best—physically and energetically. Before we build your week long personal workout plan, please take a few minutes to fill out this intake form. Your responses help us understand your unique goals, daily habits and available resources. This information is essential for customizing a program that fits your schedule, equipment and experience level.

What to expect:

- A short series of questions about you and past exercise experience

- Your goals, obstacles, and lifestyle factors like sleep, diet and water intake

- Your access to equipment, time available, and any supplements you currently take

This questionnaire will never ask for credit‑card information or surprise you with charges. It only takes a few minutes to complete, and your honesty ensures we design a workout plan that’s safe, effective—tailored to you as a dad.

Let’s get started on building your healthiest and strongest version yet!

Personal information

First Name

Last Name

Email

Age Group