Fitness Equipments

HOME GYM QUESTIONNAIRE

Please fill out the questionnaire below.

What are your goals? (Check all that apply.)

Please provide specifics pertaining to your goal. (i.e. I’d like to lose 20 lbs. before the summer; I’d like to lower my BMI by 10%; I’d like to gain 15 lbs. in lean muscle mass; I need gain mobility back in my shoulders after rotator cuff surgery).

What is your budget?
Where do you plan on placing your new home gym?

What are the dimensions of this space?

Room Dimensions:

X

Ceiling Height:

What is your preferred source of entertainment when doing cardio?
Who will be using this home gym?

Thanks for submitting!