Pre-Start Survey

[et_pb_section fb_built=”1″ admin_label=”Contact hero” _builder_version=”4.5.7″ background_enable_color=”off” use_background_color_gradient=”on” background_color_gradient_start=”rgba(78,112,141,0.76)” background_color_gradient_end=”#314259″ background_color_gradient_direction=”168deg” background_color_gradient_end_position=”88%” background_color_gradient_overlays_image=”on” background_image=”https://thefitnessproject.us/wp-content/uploads/2020/08/Waves-background-1024×576.png” z_index=”0″ custom_margin=”||0px|||” custom_padding=”75px|0px|60px|0px||” animation_style=”slide” animation_direction=”top” animation_intensity_slide=”2%” locked=”off”][et_pb_row _builder_version=”3.25″ custom_margin=”|||” custom_padding=”27px|0px|106px|0px||” custom_width_px=”1280px”][et_pb_column type=”4_4″ _builder_version=”3.25″ custom_padding=”|||” custom_padding__hover=”|||”][et_pb_text _builder_version=”4.6.1″ header_font=”Oswald|700|||||||” header_font_size=”50px” header_line_height=”1.3em” text_orientation=”center” background_layout=”dark” max_width=”1080px” module_alignment=”center” custom_margin=”||4px|||” custom_padding=”|||” header_font_size_tablet=”” header_font_size_phone=”” header_font_size_last_edited=”on|desktop” locked=”off”]

Pre-Start Survey

[/et_pb_text][et_pb_text _builder_version=”4.6.1″ text_text_color=”#ffffff” text_line_height=”1.5em” text_orientation=”center” max_width=”760px” module_alignment=”center” locked=”off”]

This is your first step to beginning this journey! This survey should take approximately 10 minutes to complete.

The information provided will help us assess where you are currently at so that we can provide you with the proper support. This survey will also help us gauge how assess you upon completion of the program, so please be sure to fill it out as accurately as possible based on where you are CURRENTLY at, emotionally and physically.

[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built=”1″ _builder_version=”4.5.7″ z_index=”10″ custom_margin=”0px||||false|false” custom_padding=”0px|||||” bottom_divider_color=”#3d3d3c” locked=”off”][et_pb_row _builder_version=”4.5.7″ background_enable_color=”off” background_color_gradient_direction=”270deg” z_index=”11″ overflow-x=”visible” overflow-y=”visible” custom_margin=”0px||||false|false” custom_padding=”50px|5%|50px|5%|false|false” border_radii=”on|15px|15px|15px|15px”][et_pb_column type=”4_4″ _builder_version=”4.2.2″][et_pb_code _builder_version=”4.6.1″ background_color=”#ffffff” z_index=”90″ overflow-x=”visible” overflow-y=”visible” custom_margin=”-150px||||false|false” custom_padding=”25px|25px|25px|25px|false|false” border_radii=”on|8px|8px|8px|8px” box_shadow_style=”preset2″]

Selected Value: 1
1: Very Unhealthy
5: Very Healthy
Selected Value: 1
1: Very uncomfortable & insecure
5: Very comfortable & confident
Selected Value: 1
1: Very rarely or never
5: Daily +
Selected Value: 1
1: I hate it
5: I love it
Selected Value: 1
1: I have never been to one
5: I am very experienced and know my way around any gym
Selected Value: 1
1: I have no idea
5: I know exactly what it needs
Selected Value: 1
1: I have never tried to diet
5: 5 or more
Selected Value: 1
1: I have never tried to work out to change my body
5: 5 or more
Selected Value: 1
1: There is no consistency
5: I sleep the same amount of time every night
Selected Value: 1
1: I'm exhausted every day
5: I am full of energy every day
Selected Value: 1
1: I am often pessimistic
5: I am always optimistic
Selected Value: 1
1: Totally indifferent
5: I am so excited about it!
Selected Value: 1
1: I am always distracted/scattered
5: I am very focused throughout the days
Selected Value: 1
1: I often get to the end of the day frustrated that I've accomplished nothing
5: I end every day satisfied with what I've done
Selected Value: 1
1: I am in a constant state of stress/tension
5: I am in a constant state of calm/peace
Selected Value: 1
1: I have no consistent practices and never take time for myself
5: I have a set of practices that I do frequently to care for myself
Selected Value: 1
1: I am always in my head and withdrawn
5: I am very present at all times
Selected Value: 1
1: I am very dissatisfied with what I do
5: I love what I do
[/et_pb_code][et_pb_text _builder_version=”4.6.1″ text_text_color=”rgba(0,0,0,0.49)” text_line_height=”1.5em” text_orientation=”center” max_width=”760px” module_alignment=”center” hover_enabled=”0″ locked=”off” sticky_enabled=”0″]

Redirect Notice: Upon submission of this form you will be redirected to our private Facebook Group. If you are not redirected, Click Here to Join. 

[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section]

Scroll to Top