MiCoachee Exercise Assessment

Please enter your email that you used with MiCoachee.

What is your current weight?

What is your current age?

What is your gender?

Male

Female

What is your top goal related to exercising?

What is your Short Term goal (3-6 months) related to exercise?

What is you Long Term goal (more than 12 months) related to exercise?

Why are these goals important to you?

When you reach your goals, how will your life be different?

On a scale of 1-4, rate how serious you are in achieving your goals

On a scale of 1-4, rate how serious are you in changing your

Please state the habits you want to change

Which habit do you believe would make the biggest different in getting to your goals?

Is there a negative habit that you believe is limiting or negatively affecting your goals, if so please list?

What are you willing to do to consistently keep exercising or achieve your exercise goals?

Do you have access to a health club or exercise group? And if so what is the organization?

When was the last time you exercised regularly?

What is the frequency of your training and what are the usual timings?

How long is the duration of your training?

Please estimate how many hours you exercise or play sports per week?

How do you feel about doing training or physical activity?

Where did you acquire the programs/routine you do in training?

During this program, did you get the results you wanted? How long did it take you?

If so, what factors derailed your progress in the past?

What do you think have been the reason why you failed to reach your goal?

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