NEW REBEL QUESTIONNAIRE

Please fill out this form prior to your first class.

First name

Birthday

1. What are your health & fitness goals? Please be specific. Ex: If you want to lose weight, how much weight?

2. When was the last time you've been in a consistent workout routine? (Consistent = at least 3 times a week within the last 3 months)

3. Have you invested in your health before us? (group fitness classes, personal training, working with a health coach, etc.)

4. Do you have experience with strength training? (including back squat, bench press, deadlift, overhead press, front squat)

Yes

5. When was the last time you felt your BEST? And why?

6. Do you want more info about our Rebel Transformation Program (designed to help busy adults lose weight)?

Yes

8. Do you have any medical conditions or injuries that we should be aware of?

9. Please respond with the 3 days and class times that you prefer to attend within a week and we will confirm that availability when we reach out!

VOTED BEST GYM & PERSONAL TRAINER