30 Minute Consultation

Name
First Last
Email*
Phone*
Can we text you at this number?
- Yes
- No
Address
Street Address City State ZIP Code
1. Tell me about you and your family?
2. Tell me about your job?
3. Bring me through a typical day in terms of activities, events, tasks, etc.
4. What does your current exercise routine consist of?
5. Has your exercise routine changed over the years?
6. When did you feel your best?
7. Bring me through a typical day in terms of nutrition, including liquids and snacks.
8. Do you have any injuries or medical conditions we should be aware of?
9. Is there anything else that will limit your abilities or range of motion?
10. What are your goals in the short term?
11. What are your long-term goals?
12. What has prevented you from reaching these goals in the past?
13. On a scale from 1-10, how important are achieving these goals to you?
14. If anything, what do you feel is your biggest obstacle to overcome in order to achieve these goals?
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