Goals Form
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Use this form to really think about where you are and where you want to be with your fitness goals. If we have not spoken with you already we will review this information and make a recommendation for your fitness needs. Please email us or call us with an additioanl questions (contact us page).

 

 

Email

Name

Please indicate your personal health and fitness goals:

Lose Fat

Gain Muscle Size

Improve Flexibility

Improve Sports Performance

Reduce Stress

Enhance Health

Lower Risk of Disease

Reduce Pain

Stop Smoking

Improve Diet

Rehab. Injury

Feel Better

Improve Cardiovascular Fitness

Increase Muscle Strength

 

What outcomes do you hope to achieve?


What problematic behaviors must you take action against, stop or change in order to meet your goal(s)?

What do you want to feel when you achieve your goal?


What obstacles are keeping you from your goal?

How will you overcome those obstacles?

What is your deadline and timeline to achieve your goal?

Express your goal in terms of a measurable outcome (i.e. realistic number of pounds to lose or ideal body weight goal).

What steps will you take to reach your goal?

Who can help you be accountable to your goal and support you besides yourself?

Please record 3 immediate concrete goals that you are absolutely committed to achieving in the next 4 weeks regarding your fitness program.

1.      

2.      

3.      

Please record 3 concrete goals that you are absolutely committed to achieving in the next 8 weeks.

1.      

2.      

3.      

Include additional goals you want to accomplish (i.e. smoking cessation, reduce stress, sleep more, etc.)

Additional notes on goals: