Initial Questionnaire Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Date of birth *How did you find out about Dan North Fitness? *GoogleInstagramT-NationBodybuilding.comReferralOtherWho referred you?Do you currently exercise? *YesNoIf yes, how frequently do you train? *1-2 x per week3-4 x per week5-6 x per weekEvery dayHow much experience do you have lifting weights/strength training? *No experience1-2 years3-4 years5+ yearsHave you ever followed a strength training program? *YesNoHow confident are you performing body-weight exercises? Selected Value: 1 1 is not at all; 5 is veryHow confident are you performing a squat? Selected Value: 1 1 is not at all; 5 is veryHow confident are you performing a bench press? Selected Value: 1 1 is not at all; 5 is veryHow confident are you performing a deadlift? Selected Value: 1 1 is not at all; 5 is veryHow would you rate your current level of strength? Selected Value: 1 1 is low; 5 is highHow would you rate your nutritional habits? Selected Value: 1 1 is awful; 5 is awesomeWhy would you give your nutritional habits this score? *How would you rate the quality of your sleep? Selected Value: 1 1 is awful; 5 is awesomeWhy would you give the quality of your sleep this score? *Do you have any current or pre-existing injuries or medical conditions that may affect your ability to train? *YesNoIf yes, please explain. Be as detailed as possible.In general, what are your current goals? Check all that apply. *StrengthMuscleFat lossMobilityCoordinationReduced painAthletic performanceWhat is your main goal? *Why do you want to achieve this goal? *What is currently holding you back from achieving this goal? *What are you prepared to do to work towards your goal(s)? *What is most important to you in terms of your progress? Check all that apply. *Reducing body-weightGaining body-weightReducing body fat percentageIncreasing upper body muscle massIncreasing lower body muscle massIncreasing weight lifting strengthIncreasing body-weight strengthImproving energy levelsFeeling more confidentReducing stressWhat do you expect from me as your coach? *What would have to happen in 3-6 months for you to look back on this experience and say, "That was so worth it!"? *How many strength training workouts (50-60 min each) can you commit to every week? This will determine which type of program you follow. You have the option to change this during your program. *3 workouts per week4 workouts per weekSubmit
