Challenge Details Form | TEAM Fitness

First name

Last name

Age

Do you have any injury concerns

Have you had any surgery in the last 2 years?

Have you had any heart problems?

Do you have any other problems that may affect your ability to exercise?

Are there any dietary or lifestyle vices that you would like to cut down/out moving forward?

Is there any dietary or lifestyle vices that you enjoy and are not interested in giving up?

Goals: List as many as you like

Estimated Weight

Food Intolerances or allergies

Dietary Requirements

Is there anything already in your exercise schedule that you want to continue?

Do you know your estimated steps you complete each day?

Do you have any travel or holidays in the 12 week period?

Anything else you would like to add?

By typing your name below states that the above information provided is true and correct

Thanks for your details. Ill be in contact soon!