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 and schedule your Free In Person Consultation at our Private Studio in Palm Harbor, Florida.  


THINGS TO KNOW ABOUT OUR SERVICES:

1) NO CONTRACTS EVER

2) NO HIDDEN FEES ( EVERYTHING IS INCLUDED)

3) EVERY WORKOUT SESSION INCLUDES  A COMPLIMENTARY (BOTTLE OF WATER, TOWEL, 30G PROTEIN SHAKE, VEGAN SHAKES AVAILABLE AS WELL WITH REQUEST).

4) We offer only Online personal training ( app Based) , Private in person training, Home Private personal training available as well with our High Performer Program only. We also offer small group private training no more than 4 people at once.
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Email *
First and Last Name *
Birthday *
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What Service are you applying for ( Choose one only)  *
BEST TELEPHONE NUMBER ( NEED THIS TO DISCUSS YOUR RESULTS) *
Height and Current Weight  *
Do you take any supplements or medication? *
Do you have any health issues or injuries? *
How did you hear about us? *
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 to reach your health goals? *
When you are deciding on buying anything, do you base your decision on Price only or the value and features of a product or service? *
Are you willing to invest financially in your health to Maximize your longevity in your life and improve your standard of living? *
Do you get massages or stretch your muscles regularly? *
PLEASE WATCH SHORT VIDEO AND GET PREPARED FOR YOUR LIFE TO CHANGE!
 Are you financially able & willing 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) *
What is your optimal availability to workout consistently each week? *
When are you trying to start Personal training? *
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? *
Have you ever tracked calories before or tracked Macros ( Protein, fat, Carbs) ? *
To Maximize Your results you will be required to track your calaries daily to see faster results. Are you committed to doing this daily? *
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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