top of page
Mini Consult Form
note: be honest and go with your first reaction! Ashley will be in touch within 24 hrs to schedule!
I would like to improve my health in these areas:
*
Required
Medical Issues / Injuries
Joints / Chronic Pain
Weight Loss
Weight Training / Strength
Flexibility
Mind / Body Connection
Cardiovascular
Nutrition
Stress Reduction
I would like to improve my health-related behavior by:
*
Required
Being held more accountable
Learning more about my body and what I need
Eating better and understanding how to fuel my body
Habits, Staying Consistent / Motivated
Improving my self-talk, confidence
Workouts ...
*
I know what I am doing in my workouts.
I know what I am doing when I workout, but need some direction.
I have no idea what I am doing and I need help with my workouts.
In the last six months:
*
I workout Regularly 3+ Days Week
I workout Some, 1-2 Days Week
No real workouts for me lately
Equipment Check:
*
Required
Travel Routine
Gym
At-Home + Equipment Access (Mat, Free Weights, Bands, Tubes, Weight Machines, Cardio Machines, BOSU, bench/power racks/squat racks/bar, foam roller etc)
My Body ...
*
I take great care of my body.
I take pretty good care of my body.
I do not take care of my body.
My Goals...
*
I am serious about my goals.
I am sometimes serious about my goals.
I am not serious about my goals.
My Health...
*
I am very happy with my overall health.
I feel I can improve my overall health.
I am unsure if I am healthy.
My Looks ...
*
I always like the way that I look
I usually like the way that I look
I never like the way I look
How I feel ...
*
I love the way I feel.
I like the way that I feel.
I do not like the way that I feel.
Upload your photo! (optional)
Upload File
Max File Size 15MB
Subscribe to receive special workout promos, events, swag - all the cool stuff
I am typically available Mon-Fri during:
*
Required
Mornings 8am-12pm
Afternoons 12pm-5pm
Evenings 5pm-9pm
Can be Flexible
Submit
bottom of page
