Get Moving!


I’m so excited you want to work together!! Here’s how we get started… Fill out the questionnaire below and hit submit. You’ll be sent an email to set up a free 15 minute consultation with me and we’ll figure out if this is the perfect fit. Looking forward to meeting you!!

Get Moving Questionnaire

All information received on this form will be treated as strictly confidential. Please fill out the forms completely and accurately. This information is essential for program development that addresses your needs, goals and interests as well as for your safety and effectiveness.
  • PAR-Q Form

    Please mark YES or NO to the following:
  • Lifestyle Related Questions

  • Please enter a value between 1 and 10.
    (1=very low 10=very high)
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  • Fitness History

  • Please enter a value between 1 and 10.
    (1=Worst 10=Best)
  • Exercise Related Questions

    Skip to next section if you are presently inactive.
  • What activities are you presently involved in? Please include the frequency/week, duration, and intensity for each activity.
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  • Developing your Fitness Program

  • x/week
  • If you could design your own exercise program, what would an ideal training week look like to you? Please be specific. List your favorite activities, rest days, time spent etc.
  • Goal Setting

  • In order to increase your chances of being successful at achieving your goals, a certain protocol should be followed. Please ensure all your goals are ‘SMART’.

    • S= Specific (Provide details, how long, how much etc.)
    • M= Measurable (How will you measure whether you’ve reached your goals)
    • A= Attainable (Be realistic, set smaller goals)
    • R = Rewards-Based (Attach a reward to each goal)
    • T = Time Frame (Set specific dates for goals)
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  • This field is for validation purposes and should be left unchanged.