Please take this Wellness Questionnaire (two minutes long, tops) and help us learn more about you so that we may customize your ideal membership!
First and Last Name
How did you hear about us?
A friend or relative
I'm a current member
Look back over your life and please describe the best you’ve ever felt... What were you doing then and who were you doing it with?
What are your specific health, wellness, and lifestyle goals?
What are you doing right now to achieve these goals?
How long do you realistically think it will take to achieve the goals you have in your mind?
Historically, what has triggered you to stop your efforts to reach your goals? (this helps us to prevent the same trigger in the future!)
Everyone has something that has the potential to derail their efforts. What obstacles do you foresee standing in your way?
How often would you like to come to inBalance to work on your wellness goals?
1 day per week
2 days per week
3-5 days per week
As much as possible
Only 1-2 times per month or less
Haven't decided yet
Are you a(n):
Early Bird (6am or earlier)
Mid Morning Enthusiast (9:30-10am)
Mid Day Merger (Noon)
Early Evening Flexer (4:30-5:30 pm)
Night Owl (6-8pm)
Which location(s) is/are the easiest for you to get to?
Do you have aches or pains in any parts of your body? Any Injuries that you're working to heal in your classes with us?
Just one last question, if you can imagine what your life will look like when you achieve your aforementioned goals, how will you feel? How will your life change? What will you do?
Anything else we should know?
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