Complete Our Fitness Assessment Is Staylight Right For You? Step 1 of 12 8% What is Your Gender?FemaleMale What is Your Age?*Please enter a value between 1 and 100. How Old Do You Feel?*Please enter a value between 1 and 100. How Many Days Per Week Do You Currently Exercise?1-23-44-55+ Are You Happy With the Way You Look and Feel Now?Yes I Am!Sort of.Not at All! What Would You Say Are Your Downfalls?Select All That Apply: I don’t eat ENOUGH I don’t like to exercise I don’t get enough sleep I don’t know what to eat I don’t have enough time I don’t have any support I don’t drink enough water I don’t know where to start I don’t have enough money I don’t have good portion control I don’t know what gym is best for me What is Your Main Fitness Goal/Objective? Main Fitness Goal/ObjectiveBODY COMPOSITIONBODY COMPOSITION “I want to change the percentage of fat, bone, water, and muscle in my body.” Main Fitness Goal/ObjectiveREHABILITATIONREHABILITATION “I am sick of this lingering injury, want to get back to health as quickly as possible, and free from any pain or debilitations.” Main Fitness Goal/ObjectiveFUNCTIONALITYFUNCTIONALITY “I want to focus on changing the way my body operates so that my everyday life is easier, more efficient, and free from pain. This is about the long haul!” Main Fitness Goal/ObjectiveMUSCLE DEVELOPMENTMUSCULAR DEVELOPMENT “I want to look better, feel better, and develop more muscle definition, density, and size.” How Would You Like to Measure Your Success?Select All That Apply: Reduced Body Fat % Reach a Goal Weight Gain Muscle / Strength Get Ready for a Competition or Special Event Other Other Goals When Do You Envision Reaching Your Goals? 6 Weeks 2-3 Months 4-6 Months Ongoing Specific Date Enter Date: On a Scale of 1 - 5 How Important Are Your Fitness Goals?On a Scale of 1 - 5 How Important Are Your Fitness Goals? 1 2 3 4 5 A Little Information to Finish Up...Name First Last Email City StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Schedule your free fitness consultation with our teamPreferred Consult DeliveryIn PersonOver the PhonePlease Choose a Day for Your Consult Specific Time To Call?Alternative Possibilities for a Consult?I am flexibleSame time selected above, on any other daySame day of week selected above, at any timeNext week, same day and timeOtherBest Number to Reach You?Alternate Number? This iframe contains the logic required to handle Ajax powered Gravity Forms.
