Let's Begin Your Personal Wellness Journey

Welcome to your personalised training experience at Samsara Women's Health Club! To help us tailor a program specifically suited to your unique wellness goals and needs, please take your time answering the questions below. Your thoughtful responses will enable us to provide you with the most supportive, motivating, and effective path to achieving your best self.

Client Name

Client Email

Phone Number

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Please list in order or importance, your fitness goals.

What types of exercises have you previously done?

What type of exercise do you love to do?

What type of feedback motivates you?

Are there any factors or concerns that may affect your ability to commit long term? This will help your trainer crate realistic programs that fit with your lifestyle.

What do you hope your sessions will achieve?

What is motivating you to pursue these sessions right now?

What fitness programs have you tried in the past and were they successful or unsuccessful?

How do you typically deal with setbacks or challenges in other areas of your life?

On a scale of 1 to 10 (10 being most important) how important is it for you to achieve your fitness goals?

How do you feel about your current level of fitness?

Are there any negative beliefs or self-talk patterns that you are aware of that may be hindering or have hindered your progress previously?

Do you feel that nutritional advice would be helpful for you?