Name *

First Name

Last Name

Phone

(###)

###

####

1 // ENVIRONMENT *

What kind of environment sounds better to you?

Lots of people, loud music, & just a taste of the crazy

One-on-one coaching & individual attention

2 // LEARNING *

How would you describe your ideal learning environment?

Lots of doing and figuring things out

Lots of instruction and questions

3 // STARTING *

What would be your preferred way of getting started?

Jumping right into the deep end

Taking it slow and steady

4 // EXPERIENCE *

Which best describes your history with fitness?

Lots of functional fitness/CrossFit

Lots of fitness, but little functional fitness/CrossFit

Not much fitness, but lots of sports and activity

Very little fitness, very few sports or activity

5 // GOALS *

Which best describes your fitness goals?

Lose weight

Gain strength

Improve endurance

Increase mobility

Dial-in nutrition

Get physical therapy

6 // TIMING *

When do you prefer to work out?

Mornings

Mid-days

Evenings