Take It Outside! Fitness
Think outside the gym
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The more you can tell me about what you are seeking the more
I can help. Please take a moment to fill me on your goals, interests,
needs etc.
Name
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Email
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Phone
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How did you hear about Take It Outside! Fitness?
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What are you interested in? (classes, training, weight management, train via phone/email, receive updates/newsletters etc.)
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On a scale of 1-10 (1=no desire, 10=really want it!) how much do you want to reach your goals?
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On a scale of 1-10 (1=none, 10=I'm ready and committed!!) how much effort are willing to commit to your goals?
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Best times and days of the week to train (T&Th at 7am, any time after 6pm, etc)
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Prefered location to train (Mt Tabor Park, the studio, etc.)
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Tell me about your FITNESS GOALS or choose from below
reduce body fat
improve cardio capacity
improve muscle tone
exercise regularly/get into a routine
improve strength
injury rehab/management
have fun!
cross train
Tell me about your LIFESTYLE GOALS or choose from below
manage stress
have more energy
improve/maintain my quality of life
fit into my clothes better
feel better about myself
doctor's recommendations
improve/maintain my overall health
control blood pressure/cholesterol levels
sleep better
Tell me about your INTERESTS or choose from below
walking
nordic walking
joggin/running
stretching/yoga
pilates (mat)
pilates (reformer, equipment based)
classes
water aerobics/swimming
weight training
What BARRIERS seem to get in your way of sticking with your exercise program?
lack of time
don't see results
easily intimidated
injury/medical condition
not sure what to do
get bored
work responsibilities
family responsibilities
lack of motivation
Additional info
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