Client Workout Form

    Name (required)

    Age (required)

    Email (required)

    Gender (required)

    Overall Goal (required)

    Total Goal Change In Pounds (Loss/Gain)(required)

    Current Weight (required)(I know...sorry!)

    How Much Time Do You Have to Reach Your Goal (in months/weeks)? (required)

    Describe Your Current Workout/Exercise Habits (for optimal program analysis)(required)

    Daily Activity Level (required)

    Fitness Experience Level (required)

    Do You Have Any Exercise Restrictions? (if yes, explain)(required)

    Preferred Amount of Workout Days Per Week (based on schedule, work, etc)