Online Fitness Coaching Questionnaire Fill out the form below and let’s get started! First Name*Last Name*Email* Phone*Skype IDDate of Birth* Weight*Height*Occupation*What are your fitness goals, be specific(short term 3-6 months and long term 1-2 years)?*What are you currently doing to help yourself reach your goals?*What is the biggest obstacle that's keeping you from reaching your goals?*What is your experience in the gym?*BeginnerIntermediateTop Level AthleteExpertDo you or have you played any sports competitively?*YesNoHow many times a week are you currently going to the gym and for how long?*(please include any other activity outside the gym)Do you have any previous injuries that are of concern and is there any exercise you cannot do?*Do you have any health conditions or ailments that I should know about? When was your last physical with a physician?*List any and all supplements that your are currently taking. Also list, if any, Doctor prescribed medication, birth control, anxiety/stress, cholesterol/blood pressure etc.*(if you have used or are using anabolics, please state: type, dose, and duration)Do you have any food allergies or strong food dislikes?*What time do you wake up, and what time is your first meal? What time do you go to sleep?*Does your job allow you to eat at any time, or do you have scheduled breaks? If so, what time are the breaks?*What time of day will you be able to workout?*Are you human? This Is Your Time! Get Motivated. Get Fit.