BODY TEMPLE – GOAL SETTING FORM NameDate of birthPlease describe your current fitness goalsHow many times per week can you exercise in the gym?1-22-33-44+Do you have any current injury or pain?Do you Smoke?YesNoDo you drink?YesNo / just socially (no more than once per week)Do you have any medical consideration we should be aware of?How many hours of sleep do you get per nightDaily activity levelPlease describe your nutritionSubmit