What's your first name? *

 
Hey {{answer_ZNLJ}}, nice to meet you.
What's your last name? *

 
How about a phone number?

We prefer text over email.
 
Where do you reside, {{answer_ZNLJ}}? *

 
Where do you work, {{answer_ZNLJ}}? *

 
What is your job title there, {{answer_ZNLJ}}? *

 
What medications & supplements are you taking, {{answer_ZNLJ}} *

 
We want to know about all of your health conditions/concerns and old injuries.  This will help us to help you safely and effectively. *

Please make special note of the following:
Cancer
Heart Disease
Diabetes
Fibromyalgia
Multiple Sclerosis
High/Low Blood Pressure
Arthritis
Blood or organ disease, including Thyroid dysfunction
Spinal Health challenges
Joint Health challenges
 
How many 250ml/8oz cups of water do you drink per day? (4 cups = 1L) *

 
On average, how many hours of sleep do you get per night? *

 
Health Professionals you are working with besides your family doctor: *

Professionals such as:

chiropractor
massage therapist
acupuncturist 
psychologist
physiotherapist.
 
What are you looking to gain from Fitness Coaching? *

List ALL of your goals, even the ones that make you blush ;*)
Here are some common goals:

Feel more at home in my body
More Energy
Less Pain
Weight Loss/Gain
Better Balance
Increased Strength/Endurance
Greater Flexibility (where?)
Better Physique Definition (where?)
Lowered Health Risks (which ones?)

 
On a scale of 1-10, if 1 is a couch potato and 10 is as fit and healthy as you have always imagined being, where would you rate your fitness level now? *

 
Where would you like to be on that scale of 1-10? *

 
How will {{answer_47744058}} feel different from {{answer_47744050}}? What will you do differently and how will you feel differently? *

 
By when would you like to brag that you have gone from a {{answer_47744050}} to a {{answer_47744058}}? *

Holidays, seasons and other significant events are great goal markers.
 
Thanks for doing all the heavy lifting{{answer_ZNLJ}}, this will make our start together quicker and easier!

Please send a text to (403) 380-8660 with any questions you have!

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