Thursdays:
Your Rugged Journey begins with a complementary Strategy Session
in which a coach will come meet with you to:
- Discuss your fitness and wellness goals
- Complete a physical assessment
- Create an Action Plan to get you started on the road to success!
To schedule your Strategy Session, please fill out the form below
*Required fields
*Name:
*Email:
*Phone:
*Date of Birth:
*Gender:
*How did you hear about Rugged Fitness?
Health Information
Have you been diagnosed with any major health issues that could affect your ability to exercise?
(ie: Heart Disease, High Blood Pressure, Arthritis, Diabetes, etc.) If so please describe:
How long ago was your last physical?
Has your doctor ever advised you against exercise or given you any restrictions?
Please specify:
Have you ever suffered any injuries or been diagnosed with any orthopedic problems?
Please specify:
Are you currently taking any of the following prescription medications could effect your exercise?
Are you currently pregnant or nursing?
Lifestyle Information
How would you rate your overall health?
How would you rate your activity level at your job?
How many total hours in a day are you in a seated position? (at work, at home, driving etc.)
How would you rate the current stress level in your life?
Are you now or have ever been a smoker?
If you quit, how long ago?
How often to you consume:
Alcohol - drinks per week
Caffeine - times per week
Fast food - times per week
Nutrition Information
How would you rate your current nutritional habits?
On average, how many meals per day do you eat (including snacks)?
On average, how many meals per week do you eat out?
Have you ever dieted in the past?
If yes, did you use a specific program and what was the result?
Have you ever worked with a nutritionist?
Do you have any special dietary needs?
If yes, please describe?
Exercise Information
How would you rate your current exercise habits?
How often to you participate in:
Strength Training - times per week
Cardio - times per week
Stretching - times per week
Have you ever worked with a personal trainer?
If yes, please briefly describe your experience?
Are you currently following any specific training program?
If yes, please describe?
Do you find it is a struggle to make exercise part of your normal routine?
If yes, please describe the main obstacles you feel interfere with your exercise efforts?
*What are your current health and fitness goals & areas of interest?
Thank you for taking the time to complete our profile form. Please click "Submit" and one of our coaches will be in contact with you to get you started on your path to Success!!
*Town You Live In:
*Trainer Preference:
*Training Availability & Preferences
What days & times are you available for training appointments?
Mondays:
Tuesdays:
Wednesdays:
Fridays:
Saturdays:
Sundays:
Do you have any additional scheduling or availability preferences?
*Primarily interested in:
Lets Get Started On Your Path To Success!!!
