I look forward to working with you!Please answer the following questions before our first session. Some are optional. Name * First Name Last Name Email * What is your goal for our work together? * Check all that apply: General strength and fitness for life’s adventures Improve bone mineral density due to an osteopenia/osteoporosis diagnosis Improve cardiovascular function Improve blood sugar regulation (A1C levels) Improve mood and increase energy General full-body weight loss Lose belly fat specifically Support an old injury and prevent future injuries Gain muscle to look fit Just have fun! Other Do you have a specific goal that you’d like to mention? Run a 5k? Do a push up? Dance at an upcoming wedding? Something else? What type of movement and exercise are you currently doing? How often? * Have you done strength training (lifted weights) before? * Yes No What type of equipment to you have access to? * Dumbbells and bands at home A full gym Nothing Other What are the obstacles preventing you from reaching your goals? Optional question Lack of internal motivation Life is too busy Not sure what to do Injury Other Do you go to bed at the same time every night? Optional question Yes, most of the time No, I go to bed at different times Do you sleep through the night? Optional question Mostly Not usually What is one song or type of music that inspires you to dance? If you’re not someone who dances, what song or music inspires you to tap your toe? * Thank you!
