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Rock That Fitness Membership Application

Rock That Fitness Group Coaching is not currently open for enrollment, however, we do make exceptions throughout the year. This application process is to ensure that we are a great 'fit' so that you get the results you are wanting!  We review applications quickly.  

This application takes roughly 15 minutes to complete. 

 

Click the button below to start.

Start

Question 1 of 15

First & Last Name

Question 2 of 15

Email Address

Question 3 of 15

Phone Number

Question 4 of 15

What is your height, weight, and age?

Question 5 of 15

What do you do for work?  How active is your job?

Question 6 of 15

Have you ever been a member of Rock That Fitness? If yes, what is reason you left and are now returning? 

Question 7 of 15

Do you have any physical conditions or limitations that you need a physician's clearance to exercise?  

Question 8 of 15

What prompted you to request joining RTF membership?

Question 9 of 15

What are your top 3 fitness goals right now?

Question 10 of 15

On a scale of 0-10, how confident are you in your ability to reach your goals?

A

0 - Zero confidence I will reach my goals

B

1

C

2

D

3

E

4

F

5

G

6

H

7

I

8

J

9

K

10 - I am very confident I will reach my goals.

Question 11 of 15

On a scale of 1 to 5 (5 being the highest), how ready are you to make a change?

A

1

B

2

C

3

D

4

E

5

Question 12 of 15

Is there anything else you would like to share when it comes to your health and fitness?

Question 13 of 15

Tracking food is highly recommended for understanding and dialing in your nutrition for your goals.  How do you feel about this? 

A

I have no problems tracking food

B

I struggle with tracking food but will give it my best effort

C

I don't want to track food. It causes triggers for me

D

Other

Question 14 of 15

What do you have access to for your workouts/training?

(Select all that apply)
A

Full Gym

B

Home (a few sets of dumbells)

C

Home (a set of dumbells and other various pieces of home equipment)

D

I plan to get a gym membership

E

I have no access to equipment at all

Question 15 of 15

Inside RTF membership, it is expected that you make a commitment to yourself and implement the tools required to achieve healthy changes in your body.
Are you ready to make your health & fitness a high priority?

A

YES! I am definitely ready to give it my best effort and make it a high priority!

B

I am somewhat ready and will do whatever it takes to make it a priority!

C

I am not really sure I am ready!

D

Other

Confirm and Submit