Virtual Gym Assessment

Please complete this questioner so I can better help with your health and fitness needs! I will respond to this via email within 1 business day. If you do not get a response check your spam...if you do not see it there please send me a message on the social media site that you obtained this form. It will help to add "" to your email contacts :)

We will be mainly reaching you via email! Please add to your contacts so that our emails don't go to your spam!

If you have alternative preferences for communicating with us please let us know!

If you are working with another coach please list their name below. 

Tell me a little about yourself! Do you have a busy schedule? Kids? Etc!!

Is there any workout program you are interested in? (Cardio, strength training, yoga, etc!)

The challengers who see the best results follow a program as written including the nutrition plans! Do you want help picking a program?

What are your current health and fitness goals in regards to NON-scale achievements? (Examples-fit into pre-pregnancy jeans, have more energy, enjoy what you see in the mirror, do 20 push-ups, run a 5K, etc!!!)

What are your current "scale" goals?? Do you have a set amount of weight you want to lose? Or a BMI you want to reach?

On a scale of 1-10 how would you rate your current physical health?

On a scale of 1-10 how would you rate your current mental health ?

WHY do you want to be healthier?

Anything else you'd like to share or want me to know?

COMMIT: By typing my name below I am committing to becoming MY best version! I know it won't always be easy, but I know that I am worth it! (Type your name below!!)