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Fitness Assessment Introduction Form

Thank you for taking the time out to complete our introduction fitness assessment. This short form is designed to help us better understand your current lifestyle, fitness goals and overall well-being. By learning more about you, we can provide personalized guidance and support tailored to your unique needs. Your information will remain confidential and used solely  to serve you better. If you have any questions or would like to schedule an in- person consultation, , feel free to email us at h3althisw3alth.com@gmail.com. We are  here to help every step of the way. Now let’s get started on your journey to a healthier wealthier future!

Do you currently workout on a daily basis?
Very much so
Not as consistent as I should
Not at all
What is your current fitness goals?
How would you describe you current nutrition?
Do you prefer one on one or group training?
How do you think a coach will help you achieve your goals?
What form of training do you prefer?
In- Person
Online
Both
What best describes a typical day at your occupation?
Sedentary- Sitting at a desk ( Office, retail, teaching, at home work)
Active- Frequent movement or light physical labor ( Food service, delivery, cashier)
Very Active- Physically, demanding work ( Industrial, physical labor, medical personnel)
What’s the hardest part of your fitness journey?
On a scale from 1 to 10, how important is it for you to achieve your fitness goals?
1-7 ( Not that important)
1
2
3
4
5
6
7
8
9
10
8-10 ( It is important)

Is there anything holding you back from getting started on your goals today? (Yes or No)

If you answered yes, please give a brief outline in reference to the response.

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