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Strength Training Interest Form
Thank you for your interest in personalized strength training! Please fill out this form to help me understand your goals and preferences. I’ll be in touch soon to schedule your consultation and take the next steps toward your fitness journey.
Full Name
*
Phone Number
Email
*
Preferred method of contact
*
text
email
Height
*
What is your experience with fitness?
*
A
New to working out
B
I worked out in the past and want to get back into it
C
I currently workout
D
I am a fitness enthusiast
Where are you working out/ what equipment do you have?
*
Full Gym
Limited Gym (Smaller boutique studio, apartment building gym, etc)
Home Gym
Limited Home Equipment (only 1 or 2 pieces, eg. Resistance bands and/or DB's only)
No Equipment or Gym Membership
What are your main reasons for exercising?
*
A
Lose weight
B
Increase muscle mass
C
Tone up/ Reshape Body
D
Improve health and longevity
E
Improve flexibility
F
Improve sports/competitive performance
G
Improve cardiovascular fitness
H
Enjoyment of exercise
What does success look like for you?
*
A
Feel stronger
B
Have more energy
C
Improve mental health
D
Feel ready for an event (vacation, wedding, etc)
E
Making fitness a priority
What sort of physical activity do you enjoy
*
A
Walking
B
Hiking
C
Cycling
D
Running
E
Swimming
F
Playing Sports
G
Strength Training
H
Calisthenics
I
Circuit training/group fitness
J
Yoga
K
Pilates
What challenges have stopped you from achieving your goals in the past?
*
A
Injuries
B
Lack of accountability
C
Lack of motivation
D
Not seeing results
E
Too Busy
F
Not knowing what to do
G
Other
Injuries, conditions or limitations I should be aware of?
*
Weight
*
How much time can you commit to working out?
3 days/week
4 days/week
5 days/week
6 days/week
20-30 minutes
30-40 minutes
45-60 minutes
How did you hear about me?
A
Instagram
B
Facebook
C
Tiktok
D
Google Search
E
Event or health fair
F
OneSkin Dermatology
G
Friend or family referral
H
Other
If referred please list their name:
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