Full Name *

Email *

Phone *

City *

Postal code *

Pick the single most important answer to each of the following questions.

Which one answer best describes your fitness goal?

To build lean muscle or to tone my body

To fit into my desired wardrobe

To improve my athletic performance in my favorite sport

To lose weight or to drop body fat %

What one benefit would you most like to gain on your fitness journey?

More confidence

More energy

Improved sex life

More compliments about my body

Which of the following best describes your current challenge in relation to past fitness experiences?

Previous failures: I doubt my ability to succeed

Unrealistic expectations: Overly ambitious goals led to my disappointment

Negative comparisons: Comparing my progress to others made me feel lacking

Bad trainers or gyms: Negative experience(s) left me apprehensive

Lack of support: No encouragement left me isolated

Which one answer is the primary obstacle preventing you from achieving your fitness goal?

Time or Consistency - finding time to exercise, OR I’m inconsistent & I stop

Accountability - I keep my commitments to others, but not with myself

Overwhelmed - I don’t know exactly how to start or where to start

Motivation - I cannot seem to “Just Do It”

Current injuries - I have current pain or a significant medical condition

Which do you prefer?

One on One sessions

Group sessions

What is your preference for session meetings?

Zoom meeting

In-person at Fred-X home gym

In-person at public park in Atlanta

In-person at your home

In-person at your workplace and/or residential fitness center

Which of these essential equipment pieces do you have for a successful training session?

I have dumbbells and/or resistance bands at home

I have dumbbells and/or resistance bands at my workplace fitness center and/or residential fitness center.

I need to get essential equipment as I don’t have access to dumbbells or resistance bands

Which of the following time blocks do you prefer to train?

Which of these additional equipment pieces do you have?

I have a weight bench at home

I have weight bench at my workplace fitness center and/or residential fitness center.

I have a yoga mat

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