How did you hear about Oxycise?
How long have you been doing Oxycise?
How would you describe your level of activity? (Anywhere from I never go out to I am physically active at least 5-6 times per week)
What is your desired level of activity?
How do you spend time having fun and laughing?
What are the top 3 things you wish to accomplish, regarding health and weight loss, in the next 30-90 days? (please be as specific as you can)
What are some of your past weight loss attempts?
Please list physical limitations (i.e. back problems, respiratory problems)
In trying to achieve goals, what are some obstacles?
What is your disposition towards exercise? (Strongly like it to strongly dislike it)
How committed are you to reaching your desired outcome?
1 (Not at all) 2 3 4 5 (Extremely Committed)
What do you hope to gain from working with a personal trainer?
How often would you like to visit with your personal trainer? (We recommend every 4-7 days for the first 5 sessions)
Please fill in the best times each day that you have available to speak with your personal trainer. Write the times when you have 45 minutes, uninterrupted, where you’ll be comfortable talking and working out.
i.e. Under Monday write “3:30pm-5:30pm” meaning you could receive a call anytime from 3:30 to 4:45pm and you would then be able to speak for 45 minutes.
