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Torinator Fitness
Health Questionnaire
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Email
*
Your email
Name
*
Your answer
Age
*
Your answer
Phone number
Your answer
Height
Your answer
Weight
Your answer
Gender
Male
Female
Clear selection
Have you worked with an online coach before?
Yes
No
Clear selection
What are your goals? Please be as specific as possible
Your answer
How many days a week do you workout now? For how long?
Your answer
How many days a week do you do cardio now? For how long?
Your answer
Do you have any injuries? Any exercises you can't perform?
Your answer
Any food allergies or foods you don't like?
Your answer
Females ONLY: are you currently on birth control? IUD?
Your answer
What do you do for work?
Your answer
Do you have any kids?
Your answer
Anything else you think I need to know?
Your answer
How serious are you about your goals? Scale of 1-10?
1
2
3
4
5
6
7
8
9
10
Clear selection
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