top of page

Servicing the Twin Cities West Suburbs
Services can also be held virtually across the broader United States

HOME
ABOUT US
PERSONAL TRAINING
- Personal Training Registration
SPECIALIZED COACHING
GROUP FITNESS CLASSES
- PLYMOUTH CLASSES
- MAPLE GROVE CLASSES
BLOG
ZYIA
PARTNERS
CONTACT
More

Use tab to navigate through the menu items.

WELLNESS QUESTIONNAIRE

First name

Last Name

Average Water Consumption in a Day

Average Amount of Sleep Per Night

Average # of Days/Week You Workout

Amount of Time for Average Workout

Any Injuries/Medical Conditions I Should Be Aware of?

Are You Taking Any Medications/Supplements (List All)

Average # of Days/Week You Eat Out * Required

Less than 2

3-4

More than 5

Rate Current Support System * Required

Exellent

Good

Okay

Poor

Rate Current Energy Levels: * Required

High

Medium

Low

Average Daily Caffeine (Cups) Intake * Required

Less than 2

3-4

5-6

More Than 7

Average Alcohol Conumption/Week * Required

Less than 2

3-4

5-6

More Than 7

What Cardio Equipment Do You Enjoy Using?

How Long is an Average Workout?

What Motivates You?

Thanks for submitting!

Twin Cities Location:

1907 Wayzata Blvd E

Suite 318

Wayzata, MN 55391

Contact: (763) 438-8421

tanya.johnson@fitmbsllc.com

Personal Training

Group Fitness Classes

Lifestyle Coaching

Life, Grief & Loss Counseling

Career Counseling In-Person or Virtual Options available

ZyiaActive Indpendent Consultant

Terms and Conditions

Privacy Notice

bottom of page