Consultation Form Name(Required) First Last Email(Required) Age(Required)Sex(Required)SelectMaleFemaleHeight(Required)Select4'9"5'0"5'1"5'2"5'3"5'4"5'5"5'6"5'7"5'8"5'9"6'0"6'1 "6'2"6'3"6'4"6'5"6'6"6'7"6'8"6'9"7'0"Weight (in lbs)(Required)What are your primary goals?(Required) Fat Loss Muscle Growth Improve Strength Improve Mobility Improve Balance Improve Conditioning Improve Endurance Increase Pull-Ups Improve Core Strength Increase Range of Motion Glute Focus Power Focus Aesthetics Improve Posture Get 1st Pull-Up Run 5K Run 10K Run Half-Marathon Run Marathon Complete Ironman Complete Triathlon Other fitness goals How Quickly Do You Want To Reach Your Goal?(Required)SelectNormal Pace (not too intense)A Little Quicker (ideal for most people)Super Quick (for people with tremendous will power)Do you exercise regularly?(Required)SelectI have never exercised regularlyI used to exercise regularlyI currently exercise regularlyRate your ability to perform cardio exercises(Required)SelectVery LowFairAverageGoodExcellentRate your experience with exercise(Required)SelectDay OneBeginnerIntermediateAdvancedWhat equipment do you have access to?(Required) Full Gym (CrossFit) Full Gym (YMCA) Dumbbells Kettlebells Single Kettlebell Squat Rack Barbell Bench Adjustable Bench Bands 40″ Big Loops Mini Bands Foam Roller Squat Rack Slam Ball Medicine Ball Wall Ball Swiss Ball Bosu Ball YBell TRX (Suspension Straps) Pull Up Bar Cable Machine Sled Battle Ropes Equalizer Dip Bars Long Sand Bag Strong Man Sand Bag Olympic Rings Box (Bench, Cooler, Tall Ledge) Treadmill Rower SkiErg Assault Bike On which days are you available to work out?(Required) Sunday Monday Tuesday Wednesday Thursday Friday Saturday How frequently do you have time to exercise?(Required)Select1-3 days a week4-5 days a week6-7 days a weekUp to trainer to decideHow many steps do you get on average per day?(Required)Do you have any existing injuries or conditions that we should be aware of while building your training plan?(Required) Yes No What habit would you like to improve?(Required) Bedtime routine Begin the day with self-care No phone or email after waking up Hydrate before & after meals Eat slower Meditate after waking up Stretch after waking up Meditate before sleep Stretch before sleep Layout workout clothes before sleep Planning the next 24 hours Reduce blue-light 2 hours before sleep Mindful eating Portion control Snacking at night Ordering food for convenience None Other habits Daily Activity Level (not including purposeful exercise)(Required)SelectVery Light (ex. desk job)Light (ex. teacher)Moderate (ex. restaurant server)Heavy (ex. construction worker)What is your number one nutrition struggle?(Required) Do you have a fitness tracking device to sync?(Required)SelectApple WatchFitbitGarminGoogle FitNot Yet But Tell Me MoreNoDo you have a sleep tracking device to sync?(Required)SelectOura RingApple WatchFitbitGarminGoogle FitNot Yet But Tell Me MoreNoWould you like to speak to a team member about your goals?(Required)SelectYesNot right now 6077
