BUILT by Biron SELF-EVALUATION FORM
Evaluate yourself, your fitness level, and the reasons why you are drawn to a program.
What is your name? (First & Last)
How often do you workout?
0 times a week
1-2 times a week
3-4 times a week
5+ times a week
What are you looking for in a fitness program? (Check all that apply)
At home workouts
How to videos
Personal one on one sessions
Workouts for the gym-goer
What are your personal fitness goals? (Check all that apply)
Maintain muscle & weight
Create a routine
Describe your current fitness routine
What interests you more?
Mixture of both
What are you looking to get out of this program?
Do you have any pre-existing injuries?
Gift-cards that interest you:
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