Pre- 8 Week Program Questionnaire Name * First Name Last Name 1. What are your short-term wellness goals (during the 8-week program)? 2. What are your long-term wellness goals (beyond the program)? 3. What are the biggest challenges you face when it comes to your health and wellness? (e.g., poor sleep, lack of motivation, unhealthy diet, time management) 4. How would you describe your current level of physical activity? Very Active (5+ workouts a week) Active (3-4 workouts a week) Somewhat Active (1-2 workouts a week) Not Very Active (less than 1 workout a week) Really Not Active (no regular exercise) 5. On a scale of 1-10, how would you rate your current motivation to improve your fitness and wellness? (1 = not motivated at all, 10 = highly motivated) 6. How many hours of sleep do you typically get each night? 7. What are your eating habits like? Balanced and healthy Sometimes struggle with consistency I know I could eat better * I need help improving my diet 8. Do you have any injuries, medical conditions, or other factors that may affect your ability to exercise? If yes please specify 9. How do you typically deal with stress? (e.g., physical activity, meditation, unhealthy habits, etc.) 10. What excites you most about joining this 8-week challenge? Thank you!
