SERVICES
ABOUT
CONTACT
GALLERY
Skip to content
SERVICES
ABOUT
Contact
Gallery
SERVICES
ABOUT
Contact
Gallery
BOOK NOW
STEP 1 of 7
NAME
EMAIL
PHONE NUMBER
BEST TIME TO CALL
9am - 12 noon
12 noon - 3pm
3pm - 6pm
After 6pm
BEST MEANS OF COMMUNICATION
Call
Text
Email
WHAT’S YOUR MAIN REASON FOR NEEDING A TRAINER?
Weight Gain
Weight Loss
Healthier lifestyle
Accountability & Structure planning
Feel Better
Other
IN YOUR PERFECT WORLD, HOW DOES YOUR PERFECT BODY AND LIFESTYLE LOOK?
GIVE US 3 MAJOR THINGS YOU WANT TO CHANGE IN YOUR LIFESTYLE AND/OR BODY:
WHAT IS YOUR TRAINING TENURE?
0 - 5 years
5 - 10 years
10+ years
WHAT IS YOUR GENEALOGICAL BACKGROUND?
African
Asian
European
Latin American
Middle Eastern
North American Indigenous
Oceanian
Mix
WHAT’S YOUR BLOOD TYPE?
A+
A-
B+
B-
AB+
AB-
O+
O-
I don´t know my blood type
I would like to purchase a blood type kit for $9.99
WHAT TYPE OF BODY RESEMBLES YOURS BEST?
Ectomorph
Mesomorph
Endomorph
WHAT OR WHO IS YOUR BIGGEST MOTIVATION FOR THIS LIFESTYLE CHANGE?
WHAT HAS BEEN YOUR BIGGEST CHALLENGE IN ACHIEVING YOUR LIFESTYLE GOALS?
WHAT IS YOUR CURRENT ACTIVITY LEVEL?
Beginner / I’m new to fitness
Intermediate / I work out from time to time
Advanced / I exercise regularly
WHAT TYPES OF ACTIVITIES?
ARE ANY PARTS OF YOUR BODY INJURED? YOUR PLAN WILL PROTECT THESE AREAS FROM FURTHER DAMAGE.
ANY CHRONIC OR ACUTE INJURIES?
HOW MANY TIMES A WEEK DO YOU EAT OUTSIDE OF YOUR OWN KITCHEN?
1
2
3
4
5
6
7
HOW MANY TIMES A WEEK DO YOU COOK IN YOUR OWN KITCHEN?
1
2
3
4
5
6
7
WHAT DOES YOUR TYPICAL DAY OF EATING LOOK LIKE?
HOW MANY TIMES A WEEK DO YOU DRINK ALCOHOL?
1
2
3
4
5
6
7
HOW MANY TIMES A WEEK DO YOU WORK?
1
2
3
4
5
6
7
DO YOU HAVE ANY DIETARY PREFERENCES OR RESTRICTIONS?
Diabetes
Vegetarian
Vegan
Gluten Free
Lactose Free
Nut Allergy
None
WHAT’S YOUR PREFERRED WORKOUT LOCATION?
Home Gym / My Gym
The Faxtory Gym
WHAT TIME IS BEST FOR YOU TO WORK OUT?
HOW MANY TIMES PER WEEK ACCORDING TO YOUR SCHEDULE CAN YOU WORKOUT?
1
2
3
4
5
6
7
HOW TALL ARE YOU?
FT/IN
CMS
/
WHAT IS YOUR CURRENT WEIGHT?
POUNDS
KILOGRAMS
WHAT IS YOUR TARGET WEIGHT?
POUNDS
KILOGRAMS
HOW OLD ARE YOU?
DO YOU HAVE A SUPPORT SYSTEM? IS THERE ANYONE HELPING YOU BE ACCOUNTABLE?
PREVIOUS STEP
NEXT STEP