Questionnaire

After completing this you' ll get a free session at Squad Fitness.

Name

Email

Phone

D.O.B.

Check all that Apply for you.
What are you struggling with right now?
Getting startedMotivationNot knowing what to do in gymNot knowing what to eatInjuries holding you backProcrastinationAccountabilityDiet or lack of itAccountabilityEnergyThe "I need to be in shape before I go to the gym" syndrome

Tell me about any injuries or nagging pain you have so we know how to modify workouts to your needs
ie. knee pain, neck, tight hips, low back sciatica.

Do you have any medical issues we need to know about, like high blood pressure, diabetes, medial history that runs in your family, asthma, etc?

Would you rather workout
Early AM 5:15amMid Morning 8-9ishMid Day 12:00Evening 3:00pm and afterOther

For other, please list.

Which location is closest to you?
HomewoodGardendaleHuntsvilleAnywhereI'm looking for online help

Would you prefer to workout in....
a group (love working out with groups of others )Personal Training (not ready to be with group or need extra accountability or have specific needs)Online (stay at home or travel )

Check the ones you wish to accomplish
weightlosskeep up with my kidstoningset a better examplelook betterstrengthget up the stairs without breathing heavymore energyrekindle spouse attractionfirmingtighteningi have an event or vacation i want to be my best for

Which is more important to you?
lose weightbuild musclestay in shape

Your Current Weight

Your Current ideal weight

Why is it important for that to change, why do you want that, what about your life would be different if we helped you make that happen?

After you reach your goal, is maintaining your progress important to you?
YesNo

How long has this goal been on your mind?
LongNot LongA few monthsMore than a yearAs long as I can remember

We keep people accountable to the goals they trusted us to help them achieve
Are you ok with being harassed a little if you don't show up for a class?
YesNo

How motivated are you to get started (1-10 )?
(10 being your ready to jump off a bridge it it helps, 1. being I'm not sure only if everything is convenient and the price is right)
---12345678910

What Do you also struggle with?
Sleepskipping mealsMotivationMuscle Soreness when you workouteating a balanced dietfat lossnight time cravingspreparing meals

About how much are you willing to invest in yourself?
I cant spend any money, things are tightI can mostly do it on my own just need some guidance $1-20 per weekI need structure and accountability $25-50 per weekI need all the help i can get :) some personal attention and extra accountability $100+ per week