Training Inquiry for All Our Bodies

Request edit access

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Let's get to know each other!

Email *

Name:

Preferred Pronouns:

Phone # or Preferred Video Chat Platform:

Preferred Method of Training

At-home (video session)

Bespoke (receive a DIY training plan to do on your own time with check-ins from me)

Group Class (virtual only for the time being!)

In person (temporarily not available)

Clear selection

When are you available to start?

YYYY

What times/ days work best for you? (please include your time zones!)

What are your movement goals?

Increased Mobility

Increased Strength

Better Posture

Increased Balance/ Stability

Increase flexibiltiy

Decrease Pain

Better Sleep

Performance Goals (dream moves, discipline-specific goals)

Have fun

Get a Bespoke Training Program

Understand How the Body Works

Consistency / Accountabilty

I want to sweat!

Build body/ brain connection

I don't know yet

Other:

Anything you'd like to add about those goals?

Do you have a movement practice right now?

Yes

Clear selection

What kinds of movement do you do right now? How often? (this will help us design a program without over-straining you!)

What kinds of movement are fun for you?

weight lifting

flexibilty/ stretch

walking

running

cardio intervals

balance challenges

yoga

pilates

agility / brain games

sports training

working with machines

bodyweight training / calisthenics

dance parties

Other

I don't know yet!

I hate all movement and will be grumpy the whole time (this is honestly fine)

Other:

Do you have any medical diagnoses or special considerations that limit your ability to exercise?

Yes

Clear selection

Please explain.

Are you currently taking any medications regularly?

Yes

Clear selection

Please explain, and list what these medications are for. (this is for safety and health reasons - regardless if you choose to share this information, please be guided by the recommendation of your health care practicioner(s) as to what kinds of movement are safe for you.)

What would you most like help with in your fitness or movement practice?

Is there anything else you'd like me to know?

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Forms