Complete Our Program Qualification Is Staylight Right For You? Step 1 of 11 9% What is Your Gender? Female Male What is Your Age?*Please enter a number from 1 to 100. How Old Do You Feel?*Please enter a number from 1 to 100. How Many Days Per Week Do You Currently Exercise? 1-2 3-4 4-5 5+ 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/Objective BODY COMPOSITION BODY COMPOSITION “I want to change the percentage of fat, bone, water, and muscle in my body.” Main Fitness Goal/Objective REHABILITATION REHABILITATION “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/Objective FUNCTIONALITY FUNCTIONALITY “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/Objective MUSCLE DEVELOPMENT MUSCULAR 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: MM slash DD slash YYYY On a Scale of 1 - 10 How Important Are Your Fitness Goals? Schedule Your Free 30 Minute Consultation with our TeamPermission to use your quiz answers during your consultation? Yes No Contact Information First Last Email Thank You. Your quiz answers will be discarded and not used during your free 30 minute consultation Δ
