Please fill out this assessment in as much detail as possible. Please note that the answers will not save if you exit the page without submitting them at the end. I'd recommend blocking off at least 20-minutes to complete this!
Click the button below to start.
Question 1 of 20
First & Last Name
Question 2 of 20
Email
Question 3 of 20
Phone Number
Question 4 of 20
Shipping Address
Question 5 of 20
Age
Question 6 of 20
Birthday (Month/Day/Year)
Question 7 of 20
Height & Weight
Question 8 of 20
What is your current job/occupation?
Question 9 of 20
Do you have a partner? Kids? Grandkids?
If so, do you live with them? How old?
Question 10 of 20
How did you hear about the Flex Fam?
Question 11 of 20
Do you have any medical conditions (i.e. Heart problems, respiratory problems, chronic illness, etc.)
Question 12 of 20
Are you currently taking any medications? (If so, please list).
Question 13 of 20
Are you suffering from any injuries that impact your daily life or workout abilities?
Question 14 of 20
Do you have any dietary restrictions?
Question 15 of 20
Do you currently track calories and macros (carbs, fat, protein) using a tracking app? If yes, what app do you use? If no, have you tracked macros in the past?
Question 16 of 20
What past diets/eating plans have you tried? What has and what has not been successful (and why)?
Question 17 of 20
How's your relationship with the scale? Do you ever weigh yourself?
Question 18 of 20
What are the struggles, deviations, or stressors you currently face with nutrition and training?
Question 19 of 20
What are your goals and desired outcomes from this group coaching program? (Be specific!)
Question 20 of 20
Please use this section to share anything else you feel is relevant. Thanks!