You made it! Now.. what's next? (12 Week Review)

WELL DONE! You should be proud of yourself for getting to 12 weeks of a structured exercise plan to help you reach your goals. The amazing physiology inside of you has been working hard at making some epic changes at a cellular level to get the most out of your body system.. your heart, lungs, bones, muscles and joints are better off for it!

We would love it if you could answer these short questions before your next appointment to help with your treatment plan.

First Name *

Last Name *

Date of Birth *

Think back to your first consult where you would have set some initial goals at the beginning of the 12-week program. Do you think you have achieved these goals? *

Yes... and it feels good!Not quite there yet, however I am making progress towards each goalNo - It has been a real challenge for me

If you answered yes to the previous question, do you have any future goals or areas for continued improvement? Please list below: *

Do you feel like Exercise Physiology has helped create a positive impact on your lifestyle habits outside of the gym? And if so, how? *(e.g. sleep patterns, stress levels, increased activity outside of gym space)

How would you rate your overall satisfaction with the program? *

1 - Very Dissatisfied 2 - Dissatisfied 3 - Neutral 4 - Satisfied 5 - Extremely Satisfied!

In relation to above, could you please explain why you chose your rating? * You can list things here like challenges you faced or suggestions for improvement

Biggest win OR learning in the 12 weeks you have been here... what is it? *

As we have approached the end of your 12-week Exercise Physiology Program, we'd like to ask what your preferences are for the next steps. Please tick which applies to you most: *

I feel like I would benefit from more support and guidance and would like to extend my programI feel confident in managing my exercise routine, commitment, habits independently outside of PhysioHealthOther - e.g. I would like to discuss other options

Anything more to add... Let us know your thoughts! *