Whole Health Strategy Form.

 

Please take about 10 minutes and fill out the following questionnaire.  I will use it as a guide to  help you achieve your health, fitness and wellness goals. 

 
Name *
Name
Phone
Phone
PHYSICAL ACTIVITIES
The following questions pertain to your fitness and recreation activities.
How many times a week do you engage in physical activities or exercise?
Where do you exercise now?
How many hours per week will you commit to your fitness?
This question is meant to help me design a program to fit the hours you have available for training.
WELLNESS AND NUTRITION
The following questions are related to wellness and nutrition. Answer to the best of your knowledge.
Thank you for taking the time to complete this questionnaire. All information gathered is completely confidential and will not be shared. I look forward to supporting you with your fitness, nutrition and wellness goals!