Fitness Goals Form Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *EmailConfirm EmailMobile: *By providing your mobile number, you consent to us using this number to follow up with you as needed. Please note that standard call or text messaging rates from your mobile service provider may apply. Check with your mobile service provider for details.Date (MM/DD/YY) *Existing Member Username (Optional)Age *Has your doctor ever said that you have a heart condition and that you should only perform physical activity recommended by a doctor? (copy) * Yes No Do you feel pain in your chest when you perform physical activity? * Yes No In the past month, have you had chest pain when you were not performing any physical activity? * Yes No Do you lose your balance because of dizziness or do you ever lose consciousness? * Yes No Do you have a bone or joint problem that could be made worse by a change in your physical activity? * Yes No Is your doctor currently prescribing any medication for your blood pressure or for a heart condition? * Yes No Do you know of any other reason why you should not engage in physical activity? * Yes No If you answered "Yes" to any of the above, do you have a recent medical release? * Yes No N/A Medical Clearance ConfirmationMedical Clearance ConfirmationWhat is your current occupation? *Does your occupation require extended periods of sitting? (estimate how many hours you sit) *Does your occupation require repetitive movements? (If YES, please explain.) *Does your occupation require you to wear shoes with a heel (e.g., dress shoes)? *Does your occupation cause you mental stress? *Do you partake in any recreational physical activities (golf, skiing, etc.)? (If YES, please explain.) *Do you have any additional hobbies (reading, video games, etc.)? (If YES, please explain.) *Have you ever had any injuries or chronic pain? (If YES, please explain.) *Have you ever had any surgeries? (If YES, please explain.) *Has a medical doctor ever diagnosed you with a chronic disease, such as heart disease, hypertension, high cholesterol, or diabetes? (If YES, please explain.) *Are you currently taking any medication? (If YES, please explain.) *List at least 3 Personal Fitness Goals (For example, 'Lose 10 lbs', 'Run a half marathon', 'Improve flexibility') - Please feel free to be as specific or as general as you like. *Rate each of your goals on the five principles listed below by placing a checkmark in the appropriate column if the goal conforms to that principle. SMART goals are Specific (clear and concise), Measurable (you can track progress), Achievable (within your abilities), Relevant (aligns with your overall fitness objectives), and Time-bound (has a deadline or timeline). Specefic Measurable Achievable Relevant Time-bound Below type three opportunities for planning general fitness goals based upon the previous goals discussed. After each one write two specific, measurable goals that lead to reaching the general goal. In the final space specify one other general goal and two specific goals to reach it. For example, if your general goal is to "Improve Cardiovascular Endurance," your specific goals might be "Run 5km in under 30 minutes within the next 3 months" and "Complete a 30-minute high-intensity interval training (HIIT) session twice a week for the next 2 months." *Additional InformationCongrats!! Submit Share this:Click to share on Telegram (Opens in new window)Click to share on LinkedIn (Opens in new window)Click to share on Reddit (Opens in new window)Click to email a link to a friend (Opens in new window)Click to share on Facebook (Opens in new window)Click to share on WhatsApp (Opens in new window)Click to share on Tumblr (Opens in new window)
