Register for Your Personalized Fitness Plan

Full name*

E-mail*

Phone number

Age*

18-24

25-34

35-44

45-54

55+

Sex

Male

Female

Prefer not to say

What best describes your work?

Mostly sitting (office / remote)

Mixed (sitting + moving)

Mostly active

How many hours per day do you spend sitting?

Less than 4

4-6

6-8

More than 8

How would you rate your stress level on a typical workday?

Low

Moderate

High

Very high

Do you often experience:

Neck or shoulder tension

Lower back pain

Hip stiffness

Wrist / elbow discomfort

None of the above

How physically active are you right now?

Not active at all

Occasionally (1x/week or less)

Regularly (2–3x/week)

Very active (4+ times/week)

What type of activity do you currently do? (multiple choice)

Gym / strength training

Running / cycling

Group classes

Yoga / mobility

Sports

None

How long have you been active (or inactive)?

Less than 3 months

3–12 months

More than 1 year

What are your main goals? (choose up to 3)

Reduce pain or stiffness

Improve posture

Increase strength

Improve mobility / flexibility

Lose weight

Increase energy during the workday

Reduce stress

Improve overall health

What would success look like for you after 8–12 weeks?

Less pain

Feeling stronger

Better focus and energy

Visible body changes

Improved daily movement

What motivates you the most?

Feeling better in daily life

Improving work performance

Health reasons

Aesthetic goals

Stress relief

How many days per week can you realistically train?

1–2

3

4+

Preferred session duration:

15–30 minutes

30-45 minutes

45-60 minutes

60+ minutes

Where would you prefer to train?

At home

At office

Gym

Outdoors

Do you prefer:

Structured workouts

Flexible routines

Short movement breaks during the day

A mix of everything

How confident do you feel performing basic exercises?

Very confident

Somewhat confident

Not confident at all

Have you ever worked with a coach or followed a structured program?

Yes

No

What usually stops you from training consistently?

Lack of time

Lack of motivation

Pain or discomfort

Stress / fatigue

Not knowing what to do

Do you currently have any pain, discomfort, or injury that affects your daily movement or exercise?

Have you had any past injuries, surgeries, or ongoing health issues we should be aware of?

Do you have any diagnosed medical conditions or take medication that could affect physical activity?

Is there anything else related to your health or physical limitations that we should consider when creating your program?

Is there anything else we should know to create the best program for you? (concerns, fears, preferences, past experiences, expectations)

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