Online Fitness Coaching Training Assessment

This assessment gives your coach what’s needed to design a strength training plan specifically for you!

After submitting, you will be redirected to a page that outlines the next steps for enrolling in our Online Coaching program.

Name

Email

Phone

Gender

Male Female

Age

Height

Weight

If you choose to work with us, what will success look like 3 months from now?

How would you classify your activity level?

How much time do you have for each workout?

How frequently do you travel for either work or pleasure?

How frequently do you want to work out?

What is your primary fitness goal?

What is the biggest obstacle holding you back from reaching your fitness goal?

Which of the following have you tried in order to reach your fitness goals (select all that apply)?

Personal training Group fitness classes Train in gym on your own Fitness app Workout plan found online Online fitness classes Other

Do you currently strength train?

Yes No

How would you classify your strength training experience?

Do you have any significant injuries or limitations (provide details)?

Do you have any medical conditions we should be aware of (provide details)?

Are you taking any medications we should be aware of (provide details)?

What type of cardio do you currently do (select all that apply)?

High Intensity Interval Training (HIIT) Running Walking Eliptical Cycling Swimming I do not do any cardio Other

Where will you primarily be working out

Home Gym

What type of equipment do you have access to (select all that pply)?

Barbells Dumbbells Kettlebells Resistance Bands Pull-Up Bar TRX Cable Weights Gym Machines No Equipment Other

How long has it been since you've been in great shape?

Are you interested in nutritional guidance?

Yes No

Voted One of the Best Personal Trainers in Kane County!

Buiding muscle is about a lot more than just looking good

Building muscle through strength training is the key to living a longer, healthier life

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Online Fitness Coaching

1-630-485-1512
danny@3stepfitness.com
3540 Stern Avenue #109
St Charles, IL 60174