Thank you for choosing CollabFitness + Yoga for your health. Please select the service(s) you are interested and complete the questionnaire and waivers. You will be sent an invoice upon completion of this form.
The service(s) you select will influence the questions asked. Please be as thorough as possible when responding. Thanks!
If you answered YES to one or more of the above physical readiness questions:
If you answered NO honestly to all questions and are new to physical fitness training:
Delay becoming much more active:
**Although Michelle Spore is CPR/AED certified, please be aware we do not have defibrillator onsite for in-person sessions & classes.**
Note: You will be required to submit a 3-day nutrition report in this nutrition section. Feel free to begin your tracking today then report back here with your results. See below for details.
Below we ask that you report your average daily macronutrient intake for 3 days within the past week. Try to at least 1 weekend day (example: Sunday, Monday, Tuesday, etc). Take the 3 days’ averages and divide by 3!
Macro numbers must be submitted in specific macronutrient amounts (150g protein, 200g carbs, 60g fat; etc) in order for us to have the information needed to begin services. For those tracking in percentages, please take time to convert these to specific gram amounts. Please do not enter "n/a" when filling out your macronutrient intake.
There's no need to try to hit certain numbers, just a tracking of what you've been normally consuming. You can use a program such as MyFitnessPal or MyMacros+ and log what you normally eat as you go through your day. A form submitted without an intake will cause a delay in receiving your plan.
Here is a link to help you understand how to take these photos: Front Full Body, Side Full Body, and Back Full Body
Progress picture tips: sports bra and shorts for women (a bikini will also work); for men, shirtless in boxers or shorts. Stay consistent with the same outfit every time you take pictures. Next, find an area of the house that has good lighting. Use the timer feature on the phone/camera, if needed.
Please take front, side/profile, and back of body photos in a relaxed posture..
Each time you take such progress pictures, make sure you do them with the same conditions every time: outfit, lighting, location, time of day, etc.
(the narrowest part of your waist - possibly above the navel)*
*Be sure to remember how you measured this each month and try to use the same tape measure each time.
CollabFitness, Michelle Spore, and their agents assume no liability for persons who undertake physical activity. If in doubt after completing this questionnaire, consult your doctor prior to physical activity. NOTE: Physical Readiness questions are being given to a person before he or she participates in a physical activity program or a fitness appraisal, this section may be used for legal or administrative purposes.
I hereby affirm that I have read & understood & answered honestly the above questionnaire. Any questions I had were answered to my full satisfaction.
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An 8 week strength training and mindfulness program.