(703) 444-0662
Hours
21620 RIDGETOP CIRCLE STE 150, STERLING, VA 20166
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New to Beyond Strength?
BLOG
FREE BOOK
Testimonials
FREE INTRO
(703) 444-0662
Hours
21620 RIDGETOP CIRCLE STE 150, STERLING, VA 20166
Home
New to Beyond Strength?
BLOG
FREE BOOK
Testimonials
FREE INTRO
Beyond Strength Roadmap Questionnaire
1-on-1 Assessment & Goal-Setting Questionnaire
Today's Date
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Name
*
Age
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Occupation
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I'd like for you to imagine that we're sitting down 12 months from now, and in the past 12 months you committed to not just join Beyond Strength, but that you took the time to set goals that excite you, showed up with consistency in all the right ways, and you took serious action to make those goals a reality... Looking back on all you've accomplished, what are you and I celebrating? Feel free to use the following three sentences (I will be... I will do... I will feel...).
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Why is that important to you?
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On a scale of 1-10 (not at all – incredibly), how serious are you about putting in the work to make this happen?
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Pick one
10
9
8
7
6
5
4
3
2
1
How did we get to this number?
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What have you already tried to accomplish your goals? And why do you think these things didn't work? Or, if they did, why didn't you stick with them?
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What do you see as the absolute biggest hurdle you face in order to accomplish your goals?
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Are you currently training somewhere (even if that's consistently training at home OR doing a trial at another gym as well)?
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Yes (please tell us where and how many times per week if you click this option)
Yes (please tell us where and how many times per week if you click this option)
No
How many days per week are you realistically able AND willing to train at Beyond Strength?
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3
Do you see yourself training in the morning, midday, or afternoons/evenings?
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Pick one
Mornings (6, 7, or 8am)
Midday (12pm)
Afternoon/Evening (4:30, 5:30, or 6:30pm)
Mixed times throughout the week
Do you know how many steps you average per day?
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Do you know how much water you drink, on average, per day?
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On average, how many hours of sleep do you get each night?
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Do you smoke?
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Yes
No
How many alcoholic beverages do you consume per week?
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Pick one
None
1-2 drinks per week
3-5 drinks per week
6+ drinks per week
Do you have a solid understanding of what good nutrition habits and skills look like?
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Yes
No
Other
Other
Heads up, we will help you to crush your TRAINING and some basic lifestyle habits outside of the gym first. Because we’ve seen enough people kiiiind of work on their nutrition, kiiiind of work on getting to the gym regularly, and kiiiind of work on improving their outside-the-gym actions to know that kiiind of applying yourself in multiple disciplines at once is a solid plan for lackluster results. Instead, we start by focusing all in on your training habits and skills. Then, once we've got those down solid, we may recommend joining one of our 12-week nutrition coaching programs if applicable.
Please list any current AND past injuries and surgeries. We don't need to know about routine procedures like wisdom teeth, tonsils, ... but if you've been injured and/or had surgery that was due to a complication or event that impacted your ability to take part in your daily activities of living, please list them out below with a general timeframe (i.e., month and/or year).
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How would you describe your overall stress levels?
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Low
Moderate
High
Are you taking any medications that have contraindications for exercise?
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Yes
No
If yes to medications, please list:
Are you aware of anything that we haven't already covered that would impact our ability to put you in the best position to be successful?
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No
Yes
Yes
If you are human, leave this field blank.
Submit
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