top of page
Join the SheRUGGED Community!
More Info>>
Empowerment Program
Podcast
Blog
Shop
More
Use tab to navigate through the menu items.
New Client Questionnaire
Please complete the form so we can better serve you.
First Name
*
Last Name
*
Email
*
Phone
*
Street Address
*
Street Address Line 2
*
City
*
Region/State/Province
*
Postal / Zip code
*
Country
*
Country
Occupation
*
Birthday
*
Height
*
Weight
*
What are you hoping to gain from this program? Do you have specific goals?
*
What are you doing now to achieve your goals?
*
What do you feel works the best for you or has worked the best in the past?
*
Do you have any injuries, limitations, etc.?
*
How much time will you be dedicating to your fitness training on a daily basis? Be specific. (i.e. Monday - 1 hour, Tuesday - 30 minutes, etc.)
*
What do you have for strength equipment (fitness ball, dumbbells, etc.)? Would you be doing this at your home or at a gym? Would you be willing to purchase a few pieces of equipment if need be?
*
What are you doing for daily nutrition right now?
*
How much attention, feedback, and communication will you need from your coach? (We check-in bi-weekly & offer optional Zoom/phone calls for those needing extra attention. We also welcome and encourage questions via email anytime!)
*
Submit
Thanks for completing!
bottom of page