New Online Client Questionnaire
Welcome to the Naturally Driven Fitness Family! Were excited your trying us out and we cant wait for you to start this journey to your health and fitness goals with us!

Before we can start we need some basic information from you so we can customized a plan for you. Please fill out all the information to the best of your ability.

This Form also will evaluate you on how bad you really want to get healthier and lose weight. We are highly selective on our clients and only like to work with high level people who value their health and want to optimize it.

If that sounds like you then please fill out the form below.
From there we will reach out if we need anymore information at a later time.
Email *
First and Last Name *
Birthday *
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Please list below your current Weight and Height *
BEST TELEPHONE NUMBER ( NEED THIS TO DISCUSS YOUR RESULTS) *
Do you take any supplements or medication? *
Do you have any health issues or injuries? *
Please Pick What Breakfast You Would Enjoy the Most From These options Below *
Please Pick What lunch You Would Enjoy the Most From These options Below *
Please Pick What dinner You Would Enjoy the Most From These options Below *
Are You In charged of Financial Decisions in your life? *
Do You Feel You Need Help? *
Are you willing to invest financially in your health to extend your longevity in your life? *
Do you get massages or stretch your muscles regularly? *
PLEASE WATCH SHORT VIDEO AND GET PREPARED FOR YOUR LIFE TO CHANGE!
How much a month are you financially able to invest in your health to reach your goals? *
what Style of workouts do you Prefer ? Full Body,or One Muscle group per day ( for example mon- chest, tue-back biceps, wed-legs) *
What styles of diets have you tried before in the past? which style did you like the most and see the best results ( keto, low carb, carb cycling, vegan, paleo) *
What is your ultimate fitness/wellness goal? *
How much a month are you spending going out to eat and on alcholic drinks, coffee, energy drinks, ( Be Honest with yourself) *
How many days a week do your currently workout? *
How many times a week are you able to commit to working out? *
How many times a week do you eat out? *
If you are on A Free Trial of our in person services, it is required for you not to miss any scheduled workouts. If You do miss any free workouts without proper notice, you will risk losing your free trial entirely. Are you ok with these terms moving forward? *
What do you feel is getting in your way of reaching your goals? *
What Type of Music Do you Love! List your top 5 Artists you Listen to Consistently? *
Do you Prefer a male or female Trainer? *
Have you Ever Work With A trainer Before? *
Please list below your top 3 reason's For needing A Personal Trainer *
If You Have work with a trainer before please list what you like about them and what also dislike about the experience. Be as specific as possible *
Thank you for answering and we will be contacting you shortly!
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