AT HOME QUESTIONNAIRE

AT-HOME PROGRAM QUESTIONNAIRE

Name

Phone Number (we'll be checking-in w/ you via text to help keep you on track!)

How many different weekly workout routines do you want (1-3)? You'll receive a new set of routines every 2 weeks

What equipment do you have available to you? (dumbbells, resistance cords, jump rope, cones, TRX, kettlebells, booty bands)

What equipment would you be interested in purchasing? We can make recommendations and /or order for you.

How much space will you have typically? (living room, yard, garage, park)

What injuries/limitations do you have?

On a scale of 1-5, how would you grade your current fitness level? (1- inexperienced, 3- average, 5- great shape)

On a scale of 0-3, how much UPPER BODY exercise do you want included in your program? (0- none at all, 3- area of importance)

What upper body muscles are most important to you? (shoulders, chest, biceps, triceps, back, balance of everything)

On a scale of 0-3, how much LOWER BODY exercise do you want included in your program?

What lower body muscles are most important to you? (glutes, hamstrings, quads, hips, balance of everything)

On a scale of 0-3, how much CORE/ABS exercise do you want included in your program?

On a scale of 0-3, how much CARDIO exercise do you want included in your program?

Would you like us to include a Weekly Weigh-in section on your page?

Any other goals and/or specific exercises you'd like us to include?

Would you be interested in adding online private coaching sessions ($30/session)?

Any additional comments, questions?