Challenge Group Application

Name*

First Last

Email*

Phone*

What is the best time to reach you?*

Facebook URL

Describe your CURRENT height & weight and how you feel now.*

PAINT a detailed picture of your IDEAL fitness level, body, weight, size and how you will feel when you reach this point.*

Do you or your immediate family have a history of health conditions such as heart disease or diabetes?*

Are there any physical limitations that would inhibit or limit your participation in an exercise program?*

What is your greatest concern or fear when it comes to your future health and fitness?*

Describe your current fitness level.

Completely out of shape with little to no exercise
Workout occassionally
Workout 4-6 days per week - but need a challenge & a change!
I have the fitness and functionality of an elite athlete and am completely happy with where I am

Which best describes your overall weight loss goals?*

Tone up and lose about 5-10 pounds. Lose that last little bit of fluff to be my best.
Lose between 10-25 pounds. I have some work to do.
Lose more than 25 pounds. Ready for a NEW & Improved ME!
Gain lean muscle. Ready to take my fitness to the next level!

Please list the habits you would like to change.*

How long have you wanted to make these changes?*

What type of exercise do you ENJOY?*

Pure Cardio
Weight Training
Balanced - Weight Training, Cardio, Flexibility
Never really enjoyed exercising, but ready to start.

My Commitment Level is:*

Need Motivation & Accountability to get moving
Enjoy working out, don't really have enough time. Ready to learn how to make it work!
Willing to give it 100% for a TOTAL BODY Transformation!

What have you tried in the past to improve your fitness level?*

What external factors have you allowed to derail you in the past?*

Time
Money
Lack of facility or equipment
Procrastination
Lack of support
Other

In your own opinion, why did you fail to "stick with it"?*

Discipline
Knowledge
Experience
Accountability
Lack of expertise

Tell me about your support system.

How often do you go out to eat?*

1-2 times per MONTH or less
1-2 times per WEEK
3-4 times per WEEK
MORE than 4 times per WEEK

How would you describe your energy levels?*

Bouncing off walls
Steady energy throughout the day
Start out great but hit a wall mid-day.
Often tired

How often do you find yourself reaching for coffee or an energy drink?

Never
Occassionally
Once or twice a day
Several times a day

How many hours of sleep do you get a night?*

4-5 Hours
6-7 Hours
8 Hours or more

What is your CURRENT activity level, NOT including any workouts you may be doing?*

Inactive (ex. desk job)
Moderate (ex. server in a restaurant)
Active (ex. construction worker)

How much water do you drink a day?*

Have you ever participated in a Ardent Fitness Challenge Group?*

Yes, I am a Ardent Fitness Challenge Group Grad!!
Yes, however I didn't make it all the way through.
No, this will be my first time.

One of the most important aspects of Ardent Fitness Challenge Groups, even above the weight loss, is the mental breakthroughs that occur! There are MANY ways to lose weight… but there is ONLY ONE WAY to KEEP it off… and that is by making a shift in the way you THINK about both nutrition and exercise... and MOST importantly, the way you think about YOURSELF and your potential! So, my question to you is this... Where are you at currently in your life and WHY are you READY and WILLING to do what it takes to CHANGE!?*

Challenge Group Application

Health & Fitness Questionaire