Ramsay RPT

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First Name *

Last Name *

Email *

Phone *

Age *

Weight *

What do you do for a living? *

Whats the activity level at your job? *

None (seated only)

Moderate (light activity such as walking)

High (heavy labor, very active)

Do you follow a regular working schedule, do you work days, afternoon or nights? *

What are your primary health and fitness goals?: *

Have you followed any fitness or nutrition programs in the past? What was your experience? *

Do you have any specific dietary preferences or restrictions? *

What are your expectations from this program? *

How much time can you realistically dedicate to exercise each week? *

What motivates you to make these changes now? *

What are your biggest challenges or obstacles in achieving your fitness and health goals? *

Do you currently have a regular sleep schedule? *

Yes, I have a regular sleep schedule

No, no sleep schedule

Are you experiencing high levels of stress on a regular basis? *

Yes, high levels of stress

No, no stress

Do you sit for more than 6 hours a day? *

Yes, I sit for 6 or more hours a day

No, no sitting for long periods

Do you consume alcohol more than three times a week? *

Yes, I consume alcohol 3 or more times a week

No, I do not consume alcohol 3 or more times a week

Have you ever been diagnosed with or suspect you might have a hormonal imbalance or condition (such as PCOS, thyroid issues) that impacts your fitness or health goals? *

Yes, I have been diagnosed with or suspect that I might have a hormonal imbalance or condition

No, I have not been diagnosed with nor suspect that I might have a hormonal imbalance or condition

What is your goal with your training? *

Why is this training goal important to you? *

How often are you willing to train a week to reach your goal? *

Have you trained with a personal trainer before? *

Yes, I've had a personal trainer before

No, I've never trained with a personal trainer

Do you have any upcoming holidays in the next 6 weeks? *

Yes

No

If yes, when and for how long? *

How long has it been since you were 100% confident in your body? *

If you had a personal trainer coaching you 3x per week, and a specific program for your goals, would you get better results than doing it on your own? *

Yes

No

If you had a personalised meal plan for your goal & body type, do you think you'd get better results than dieting on your own? *

Yes

No

If you had an accountability coach - and support from like-minded people - helping you stay on track & guiding you every step, do you think you would successfully reach your goal? *

Yes

No

How long have you thought about making these goals a reality? *

Under 6 months

6-12 months

More than 12 Months

More than 3 Years

"I believe that anyone can get into their ideal shape as long as they have the right guidance and most of all the determination to see it through. If you want something bad enough, you can make it happen."