Online Consult Go backYour message has been sent Name(required) Warning Email(required) Warning Phone Warning How did you hear about Fit For Everyone?(required) (PLEASE SELECT) Internet Search True Local Friend Warning Age(required) (PLEASE SELECT) < 21 22 - 35 36 - 44 45 - 55 >55 Warning Is your job physical or sedentary?(required) (PLEASE SELECT) Physical Sedentary Warning How long have you considered and exercise program?(required) (PLEASE SELECT) < 1 month < 6 months > 6 months Warning What has kept you from staring an exercise program? Warning Are you currently exercising and/or playing a sport?(required) (PLEASE SELECT) I play a sport I Exercise I do both I do neither Warning Are you currently on a diet or watching your eating habits?(required) (PLEASE SELECT) Yes No Sort of Warning I would like to reduce body fat(required) (PLEASE SELECT) Important to me Somewhat important to me Not important Warning I would like to improve my fitness for a sport(required) (PLEASE SELECT) Important to me Somewhat important Not important Warning I require rehabilitation(required) (PLEASE SELECT) Important to me Somewhat important Not important Warning I want to increase my endurance levels(required) (PLEASE SELECT) Important to me Somewhat important Not important Warning I want to reshape my body(required) (PLEASE SELECT) Important to me Somewhat important Not important Warning I would like to better manage my stress levels(required) (PLEASE SELECT) Important to me Somewhat important Not important Warning I want to improve muscle tone(required) (PLEASE SELECT) Important to me Somewhat important Not important Warning I want to improve my strength(required) (PLEASE SELECT) Important to me Somewhat important Not important Warning I want to increase muscle mass(required) (PLEASE SELECT) Important to me Somewhat important Not important Warning When would you like to acheive youre results by?(required) Warning How important is to you to achieve your goals?(required) (PLEASE SELECT) 5/5 Critical 4/5 Very important 3/5 Important 2/5 Would like to 1/5 See how I go Warning How many hours per week do you have available for exercise?(required) (PLEASE SELECT) <2 hours 2 hours 4 hours 6 hours 8 hours >8 hours Warning My family and friends support me in a training program(required) (PLEASE SELECT) Supportive Somewhat supportive Not supportive Warning Is there anything preventing you from commencing an exercise program today?(required) (PLEASE SELECT) Yes No Warning If yes please provide a reason Warning Do you or have you ever suffered from Arthritis?(required) (PLEASE SELECT) Yes No Warning Do you or have you ever suffered from Asthma?(required) (PLEASE SELECT) Yes No Warning Do you or have you ever suffered from Diabetes?(required) (PLEASE SELECT) Yes No Warning Do you or have you ever suffered from Epilepsy?(required) (PLEASE SELECT) Yes No Warning Do you or have you ever suffered from a Heart condition?(required) (PLEASE SELECT) Yes No Warning Do you or have you ever suffered from High or Low Blood Pressure?(required) (PLEASE SELECT) Yes No Warning Do you or have you ever suffered from Back Pain?(required) (PLEASE SELECT) Yes No Warning Do you or have you ever suffered from Chest Pain?(required) (PLEASE SELECT) Yes No Warning Have you been pregnant recently?(required) (PLEASE SELECT) Yes No Warning Have you incurred any major injury that would affect you in exercising?(required) (PLEASE SELECT) Yes No Warning Are there any Physical or Mental conditions that may impact your ability to exercis(required) (PLEASE SELECT) Yes No Warning Do you eat Junk Food?(required) (PLEASE SELECT) Yes No Warning Do you smoke?(required) (PLEASE SELECT) Yes Socially No Warning Do you drink alcohol?(required) (PLEASE SELECT) Daily Weekly Occassionaly No Warning Warning. Submit Δ Like Loading...