Tacoma Kali-JKD-PT Readiness Survey
Thank you for taking the time to fill out this short questionaire. Your reply will be used to help me develop a simple, sustainable and realistic way to help you meet your goals.
Email address *
What is the most important thing you want help changing *
Required
Why are these changes important to you, how will you know you were successful and how will you feel after you successfully make these changes. *
Your answer
On a scale of 1 to 10, 1 being don't turn on the lights and 10 being I am ready to run naked in the streets to show people I am Majestic AF! Where would you rate how happy you are with the way your body looks. *
On a scale of 1 to 10, 1 being I can't move without sounding like an old house, and 10 being let's sprint up that mountain and catch some thunder! Where would you rate how happy you are with the way your body feels. *
On a scale of 1 to 10, 1 being I have to take breaks between ideas and 10 being I can flip cars and juggle polar bears with chain saws! Where would you rate how happy you are with the way your body performs. *
How committed are you to making this change? *
How much time can you commit to this goal. *
How much money can you realistically commit to this goal. *
I prefer to work out : *
The time I prefer to work out is : *
Do You Currently Exercise Regularly *
Rate Your Experience With Exercise *
None
Ninja
What equipment do you have access to? *
Which Days are you available to work out *
Required
How often do you have time to exercise? *
Do you have any Existing Injuries or conditions that I should consider when developing your personal program. *
Your answer
Is there anything I missed? Are there any comments about what you would like to see in your plan? *
Your answer
If you would like me to contact you to get more information about my programs, or to discuss how you can move toward your goals, with or without me, let me know here *
A copy of your responses will be emailed to the address you provided.
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