Questionaire
To help us better understand your needs, please take a few minutes to answer these questions.

Do you have any injury or condition, past or present that may affect your ability to do an exercise program?
Yes No
If yes, please explain.

What is your present level of satisfaction with your exercise efforts and time investment?

Have you ever worked with a trainer?
Yes No
If yes, how would you describe the experience?

How difficult do you find it to achieve your fitness objectives?

What gets in the way? Check all that apply.
Lack of knowledge
No follow through
Lack of commitemnt
Keep making excuses
I think I'm doing everything right, but it's not working.
Intimidated by the gym atmosphere
I made progress at first, but now I am stuck
Other, please explain

What dissatisfactions do you have with the gym where you belong (if applicable)?

Are you concerned about the risk of osteoporosis and other diseases related to inactivity and age?
Yes No
If yes, what are you doing about it?

Thank you, we look forward to working with you!