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Pre-Call Questionnaire

We are excited to learn ALL about

how we can help you achieve your goals!

Welcome To SSPT Fitness & Wellness

Woodstock's #1 Private Studio

First Name *

Last Name *

Date of birth

Phone *

Email *

By checking this box, I consent to receive non-marketing text messages SSPT Fitness & Wellness about the information gathered in this form. Message frequency varies, message & data rates may apply. Text HELP for assistance, reply STOP to opt out.

By checking this box, I consent to receive marketing and promotional messages including special offers, discounts, new product updates among others, from SSPT Fitness & Wellness at the phone number provided. Frequency may vary. Message & data rates may apply. Text HELP for assistance, reply STOP to opt out.

What is your primary fitness / health goal?

Weight Loss / Fat Loss / Body Recomp

Strength & Conditioning

General Wellness / Longevity

Nutrition & Lifestyle Optimization

Pain Management & Corrective Exercise

Other

How many days a week do you currently workout? *

Currently not working out

1-2

3-4

5+

How would you describe your nutritional habits? *

S.O.S

Room for improvement

Minor refinement needed

100% dialed in

How much water do you drink per day? *

0-1 liter

1-2 liters

2-3 liters

3+ liters

How would your rate your current stress loads? *

No stress here

Minimal

Stressed but functional

Trying to keep head above water

On average, how many hours of sleep per night do you get? *

< 6 hours

6-7 hours

7-8 hours

8+ hours

How would you describe your ability to overcome emotional challenges and adversity? *

I ignore or deeply suppress

I am aware of triggers and make conscious effort to avoid

I have intentional coping mechanisms I use to be resilient

I deflect and distract with food, alcohol, or other "numbing" agents

Which service(s) are you interested in exploring? *

Personal Training (in-person)

Online Coaching (fitness, nutrition, lifestyle)

Hybrid Coaching (mix of in-person + online)

Pain Management (fascial stretch therapy, cupping)

Advanced Recovery (infrared sauna, cold plunge, red light therapy)

What would your life look like in 12 months from now if you achieved all your desired goals? What would have changed? *

Is there anything else you would like to share that is specific to the support you need to be successful? *

Next

COMPANY

FITNESS COACHING

COACHING

In-Person Fitness Coaching

Hybrid Fitness Coaching

Nutrition & Lifestyle Coaching

RECOVERY

Red Light Therapy

PAIN MANAGEMENT

Fascial Stretch Therapy

Cupping/GUA SHA Scraping

LEGAL

861 Warwick St, Woodstock, ON N4S 4R6, Canada

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