Quiz
Exit this survey
One on One Coaching Quiz
*
Name & Date
Name & Date
If you are going to have One on One Coaching home visits, we need to know what days of the week is best for you?
If you are going to have One on One Coaching home visits, we need to know what days of the week is best for you?
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Coaches schedule home visits from 9 am till 8 pm, what times would be best for you?
First home visit is 2 hours long; visits thereafter are about an hour long.
Coaches schedule home visits from 9 am till 8 pm, what times would be best for you? First home visit is 2 hours long; visits thereafter are about an hour long.
9 a.m.
10 a.m.
11 a.m.
Noon
1:00 p.m.
2:00 p.m.
3:00 p.m.
4:00 p.m.
5:00 p.m.
6:00 p.m.
7:00 p.m.
8:00 p.m.
I understand the there will be 5 home visits scheduled with my coach over the next 3 months.
I understand the there will be 5 home visits scheduled with my coach over the next 3 months.
Yes I understand
I will not be receiving home visits
What do you hope to get out of an exercise program?
What do you hope to get out of an exercise program?
To lose weight around my 'trouble zones' such as hips, buns, belly or thighs
To lose weight so I can look better for a wedding/reunion/vacation, etc.
To lose weight and change the shape of my body
To improve my health, quality of life and look better within my body's limits
How much time can you realistically spend on cardio and strength training? Be honest!
How much time can you realistically spend on cardio and strength training? Be honest!
A few minutes
10-20 minutes
20-30 minutes
30 or more minutes
How many days a week can you realistically spend on cardio and strength training? Be honest!
How many days a week can you realistically spend on cardio and strength training? Be honest!
Maybe one
One or two days
At least three days
Three or more days a week
According to Guidelines, how often should you lift weights?
According to Guidelines, how often should you lift weights?
Never
Whenever I feel like it
Once a week
At least twice a week
According to the American College of Sports Medicine (ACSM), how often/how long should you do cardio exercise for weight loss?
According to the American College of Sports Medicine (ACSM), how often/how long should you do cardio exercise for weight loss?
1-2 days for 20 or more minutes
2-3 days for 20 or more minutes
3-5 days for 30 minutes
At least 5 days a week for at least 30 minutes
What is the best way to lose weight?
What is the best way to lose weight?
Go on a diet
Cardio exercise
Cardio and strength training
Cardio, strength training and a healthy, low-calorie diet
How willing are you to change your schedule (e.g., get up earlier, use your lunch hour) for exercise?
How willing are you to change your schedule (e.g., get up earlier, use your lunch hour) for exercise?
Not very willing
I'm willing to think about it
I'm willing to give it a try
I'm totally willing
How willing are you to invest in a gym membership, home equipment, apparel/shoes or other services or gear you might need to exercise?
How willing are you to invest in a gym membership, home equipment, apparel/shoes or other services or gear you might need to exercise?
Not at all
I'm willing to think about it
I may be willing to spend a little time and money
I'll get whatever I need to make it happen
In order to lose one pound of fat in a week, how many calories would you have to cut from your daily caloric intake?
In order to lose one pound of fat in a week, how many calories would you have to cut from your daily caloric intake?
50
100
350
500
Do you know how many calories you eat each day?
Do you know how many calories you eat each day?
I have no idea
I have a vague idea
I have a pretty good idea
I keep a food journal and regularly add up my calories
Are you willing to keep a daily food journal and track your calories each day?
Are you willing to keep a daily food journal and track your calories each day?
No
I'm willing to think about it
I'll try, but I won't make any promises
Yes
How often do you eat out each week?
How often do you eat out each week?
Most days of the week
4 or more days of the week
2-4 days a week
1-2 days a week
How willing are you to spend more time grocery shopping, reading food labels and preparing meals at home?
How willing are you to spend more time grocery shopping, reading food labels and preparing meals at home?
Not gonna happen
I'm willing to think about it
I'd like to try, but I won't make any promises
Very willing
How long are you planning to stick with exercise and healthy eating?
How long are you planning to stick with exercise and healthy eating?
Until I can't stand it anymore
I'm not sure
Until I reach my goal(s)
For as long as I'm able to
Say you exercise and eat healthy for a few weeks or months and you are dissatisfied with your physical results. What would you do?
Say you exercise and eat healthy for a few weeks or months and you are dissatisfied with your physical results. What would you do?
Quit completely
Give up for awhile and start all over again with the same goals and exercise routines
Keep doing the same thing and hope for the best
Figure out if I need to change my goals, change my program, accept my body or talk to an expert for advice
Having realistic expectations as well as a plan for reaching your goals are essential for making permanent changes in your life.
Powered by
SurveyMonkey
Create your own
free online survey
now!
Javascript is required for this site to function, please enable.