Your First Step

Tell Me about you!

Your Goals, Your Journey, Your Plan

Please take time to fill out this questionnaire so I can learn more about you and your goals!
Start Building a Healthier You Today!

Name(Required)

Email(Required)

Age(Required)

Height(Required)

Weight(Required)

What are your fitness goals? (Short term and long term)(Required)

Have you have ever used a personal trainer before? If yes, what worked and did not work for you?(Required)

What type(s) of training you are currently doing? (How often, duration of each workout, weightlifting or cardio, how much of each per week)(Required)

Are there any exercises that you absolutely love or would like to incorporate in your program?(Required)

Please list exercises that you do not want in your program(Required)

How many years of strength training do you have, if any?(Required)

Which body part would you like to specifically work on?(Required)

How many times per week would you like to train and your ideal rest days:(Required)

If you wish to do one-on-one personal training, what is your availability?

What is your normal daily activity level?(Required)

Do you have any device to track your steps such as an Apple watch? If so, on average, how many steps do you take on a daily?

What is your current general diet? Please list what a typical day of eating looks like for you(Required)

Are you currently tracking your macros? If so, what is your current macro breakdown?

Is there anything that you can’t or won’t eat?(Required)

What is your ideal meal breakdown? (Number of meals per day)(Required)

Are there any supplements or medication you are taking?(Required)

Do you have any previous injuries or medical conditions that I should be aware of?(Required)

Would you be willing to obtain a membership at “The Gym” in Phoenix if interested in one-on-one personal training sessions?(Required)

Yes

Not interested in one-on-one

Any additional information that you feel that I need to know?

Please provide me with your fasted weight, as well as current front, side and back full body photos. If you do not have them available now, you may skip this next section and send them to me as soon as possible.

Fasted Weight

Full Body Front View

Accepted file types: jpg, jpeg, png, gif, heif, heic, webp, pdf, Max. file size: 20 MB.

Full Body Side View

Accepted file types: jpg, jpeg, png, gif, heif, heic, webp, pdf, Max. file size: 20 MB.

Full Body Back View

Accepted file types: jpg, jpeg, png, gif, heif, heic, webp, pdf, Max. file size: 20 MB.

Phone

This field is for validation purposes and should be left unchanged.