Fitness Coaching Treatment Selection Survey
Help us understand your fitness background and preferences to recommend the best coaching program for you.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
What are your primary fitness goals?
*
Weight Loss
Muscle Gain
Improve Endurance
Increase Flexibility
General Health & Wellness
Other
How would you rate your current fitness level?
*
Beginner
1
2
3
4
Advanced
5
1 is Beginner, 5 is Advanced
How many days per week do you currently exercise?
*
0 days
1-2 days
3-4 days
5-6 days
Daily
Which types of exercise do you enjoy or are interested in? (Select all that apply)
*
Cardio (running, cycling, etc.)
Strength Training
Yoga/Pilates
HIIT (High-Intensity Interval Training)
Group Classes
Sports (e.g., tennis, basketball)
Other
Please rate your motivation to start or continue a fitness program.
*
1
2
3
4
5
Do you have any current injuries, health conditions, or physical limitations? If yes, please specify.
When are you generally available for coaching sessions? (Select all that apply)
*
Weekday Mornings
Weekday Afternoons
Weekday Evenings
Weekends
How do you prefer to receive coaching?
*
In-person
Online/Virtual
Hybrid (Both)
Please list any other information or preferences you would like us to consider when selecting your coaching treatment.
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