Survey - Ascend

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Client Survey Form

Fill out this survey to tell me more about you, your goals, lifestyle and preferences. It will help me recommend the perfect package to get you started!

Name

Email

Cell/WhatsApp Number

How would you describe your current fitness level?

Beginner – just starting out Intermediate – I train a few times a week Advanced – fitness is part of my lifestyle

What are your main fitness goals? (Select all that apply)

Lose weight Build strength Improve endurance Feel more confident Improve overall wellness Other

How would you describe your current eating habits?

Pretty balanced All over the place I try, but struggle to stay consistent Not sure what works for me yet

Do you have any dietary preferences or restrictions?

None Vegetarian Vegan Pescatarian Other

What is your go-to treat or comfort meal?

Chocolate Pizza Wine Ice cream Other

How many days per week can you realistically commit to training?

2–3 days 4–5 days 6–7 days

Where do you prefer to train?

Gym Home Outdoors Mix of everything

What motivates you most?

Seeing results Feeling stronger and healthier Having accountability Being part of a supportive journey

Do you have any injuries I should know of?

Yes No

If yes, please elaborate

What would make this journey feel like a success for you?

What is one thing you have always struggled with when it comes to fitness or wellness?

When you imagine your strongest self, how do you want to feel? (Select all that apply)

Confident and proud Energised and balanced Disciplined and focused Happy in my own body Other

What kind of motivation works best for you?

Tough love - I need a push! Encouragement - gentle reminders Accountability - knowing that someone is checking in Independence - I like to do my thing with guidance

How much personal support and guidance are you looking for?

I want full support I would like a structured plan to just follow I need a short, focused plan to get me started Not sure yet - I would love your recommendation!

Is there anything else you would like me to know?

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Refunds & Returns Policy

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