Name *

First Name

Last Name

1. How would you describe your current wellness routine?

All-in on strength or gym-based training

Mostly yoga/mindful movement

Some cardio here, some weights there—no real plan

Honestly? I’ve fallen off the wagon

Recovery-only lately (dealing with burnout or injury)

2. What’s your biggest obstacle right now?

Consistency or motivation

Balancing intensity with recovery

Lack of time/flexibility

Intimidation or not knowing where to start

Piecing together a routine across multiple places

3. What are your wellness goals for the next 90 days?

Build strength and feel powerful

Increase flexibility and move pain-free

Recover from stress or injury

Establish a sustainable, smart routine

Feel more connected—physically and socially

4. Your ideal wellness space should...

Be premium and thoughtfully designed

Let me train, recover, and chill—all in one place

Feel warm, inclusive, and community-driven

Offer variety so I don’t get bored

Challenge me—but also support me

5. What best describes your schedule?

I like early mornings—get in, get moving

Midday movement or recovery fits best

Afternoons or evenings—I need to decompress after work

My schedule changes daily—I need flexibility

I’m not sure yet—still figuring out what works