Want to sign up with Sanja – Please give us some information about you and fill out this questionnaire. She’ll contact you – we make it easy and comfortable. What are your main goals? I want to lose weight and be thinner I want to tighten up my body I want to have more energy and feel better overall I want to be healthier and more fit How often do you currently exercise?NeverOccasionally1-3 times per week4-6+ times per weekHow often do you perform resistance training?Never1-3 times per week4+ times per weekHow long are your workouts?Roughly 30 minutes30-60 minutes1 hour to 1 1/2 hoursMore than 1 1/2 hoursDo you enjoy group activites or prefer one-on-one attention?Like to be around peoplePrefer to have one-on-one attentionWhat body type are you?Apple shape: carries more fat around the center, stomach and chest.Pear shape: carries more fat around the lower body; hips, buttocks, saddlebags.Banana shape: body is long and narrow, slim but needs to add shape and curves.Hour glass: has the ideal shape, just needs to lose inches and tighten up.Do you have any injuries or aches and pains? Hip/Knee or other joint replacement Knee problems Shoulder pain Back Problems Rotator cuff injury Sprains/strains Tendonitis Carpal tunnel Shin Splints Plantar Fascilitis Other Not Sure Do you have any medical conditions? Very important to be thorough: This may affect the plan we set up for you. High blood pressure Arthritis Depression High cholesterol Digestive problems Heart disease Diabetes Menopause Multiple sclerosis Asthma Osteoporosis Sleep disorder Fibromyalgia Anxiety Other Do you smoke?YesNoHow often do you drink alcohol?1 - 2 drinks per week3 - 5 drinks per weekMore than 5 drinks per weekOccasionally (1 - 2x / month)NeverWhat types of food do you crave? Sweet (ex: chocolate) Sweet (ex: fruits) Salty; cheese, crackers, chips All of the above Do you turn to food when stressed?YesNoPlease confirm your information...NameEmail HeightWeightGoal WeightAgeGenderMaleFemale Write a comment: Cancel replyMessageName * Email * Your email address will not be published. Save my name, email, and website in this browser for the next time I comment.
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