Fit by EW Personalised Fitness Plan

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ON A SCALE OF 1-10 HOW DO YOU RATE YOUR CURRENT PHYSICAL FITNESS (1 BEING POOR AND 10 BEING EXCELLENT)(required) 1

2

3

4

5

6

7

8

9

10

ON A SCALE OF 1-10 HOW DO YOU RATE YOUR CURRENT MENTAL FITNESS (1 BEING POOR AND 10 BEING EXCELLENT)(required) 1

2

3

4

5

6

7

8

9

10

WHAT WOULD BE YOUR PRIMARY HEALTH AND FITNESS GOAL (choose one)(required) FAT – lose weight

FAT – lose leg, bum and/or tum fat

MUSCLE – gain strength

MUSCLE – gain muscle

FITNESS – get fit

FITNESS – improve performance

FITNESS – improve flexibility

FITNESS – improve tone

FITNESS – improve stamina

FITNESS – improve health

MENTAL – reduce stress

MENTAL – reduce anxiety

MENTAL – reduce depression

MENTAL – improve focus

MENTAL – improve sleep

MENTAL – improve relaxation

Other

If other?

WHAT WOULD BE YOUR SECONDARY HEALTH AND FITNESS GOAL (choose one)(required) FAT – lose weight

FAT – lose leg, bum and/or tum fat

MUSCLE – gain strength

MUSCLE – gain muscle

FITNESS – get fit

FITNESS – improve performance

FITNESS – improve flexibility

FITNESS – improve tone

FITNESS – improve stamina

FITNESS – improve health

MENTAL – reduce stress

MENTAL – reduce anxiety

MENTAL – reduce depression

MENTAL – improve productivity and focus

MENTAL – improve sleep

MENTAL – improve relaxation

Other

If Other?

HOW MANY HOURS A WEEK CAN YOU COMMIT TO PHYSICAL AND MENTAL FITNESS & EXERCISE (choose one)(required) 1 Hour

1-3 Hours

3-5 Hours

5+ Hours

Do you have a health (physical or mental) condition that you would like to share with us? This is completely confidential and will not be shared.(required)

Is there anything else you would like to share with us about your overall health and fitness? Anything else you would like to improve or change?