JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Fitness and Yoga Application
I'm only looking for women who are dedicated to getting fit the healthy way. Let's create healthy habits that will keep you strong and fit for life. I want to help you create a body and lifestyle that’s easy and healthy!
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Name
*
First and last name
Your answer
Phone number
*
Your answer
How do you prefer to communicate?
Phone call
Text
Email
Other:
Clear selection
Are you interested in personal training, yoga, or both?
Your answer
What is your main goal? (check all that apply)
*
weight loss
shaping and toning
weight gain
building muscle
building strength
overall health
Other:
Required
How long have you been thinking about getting into better shape?
*
Your answer
Why is the outcome important to you?
*
Your answer
What do you see stopping you from reaching this goal?
*
Your answer
Are you participating in any physical activity now? If so, what?
*
Your answer
Does your significant other and family fully support your goal?
*
Your answer
Have you ever had a fitness professional design a program for you? If so, what did you like/dislike?
*
Your answer
On a scale of 1-10 how serious are you about accomplishing your goals?
*
I'd rather drink lemon water with cayenne pepper for 3 weeks
1
2
3
4
5
6
7
8
9
10
I'll do whatever it takes!
Are you willing to invest $85-$275 a week to achieve your goals?
*
Yes
No
Any previous injuries, surgeries, or any pains I should be aware of?
*
Your answer
Are you pregnant or breastfeeding?
*
Your answer
Why do you want to be part of my coaching program?
*
Your answer
Where's your dream vacation?
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
