Prospect Profile

This form is required for all consultations and gym activities.

Part 1 - Intro Confirmation
CrossFit Atlanta is a premium training facility. We provide a first-class fitness experience based on our knowledgeable coaching and our one-of-a-kind 90 Days to Awesome new member onboarding program.
We believe this is the beginning of major change in your life and we take that very seriously. This is a big decision and a big investment for you. We understand that and are ready to assist you from the start. The following questionnaire will help us to do so. We appreciate you being as thorough as possible. We cannot know what you don't tell us.
I am ready to make positive change and commit to becoming a better version of myself.*
- Yes!
Part 2 - Profile
Name*
First Last
Email*
Mobile*
Family
Upload a pic so we know who to look for
What do you do professionally?*
How did you hear about CrossFit Atlanta?*
- Friend / Referral
- Facebook
- Google
- Yelp
- In the Neighborhood
Describe your current fitness/activity regiment (i.e. sports, running, strength training, etc.)*
Do you have CrossFit experience?*
- None
- 1-3 Months
- 4-6 Months
- 7-12 Months
- 12 Months+
Rate your energy level. (1 = tired all the time. 5 = feel great, level energy all day)
- 1 - Worst
- 2
- 3
- 4
- 5 - Best
Describe your current nutrition. Are you on any specific diet?*
What kind of change are you looking to make? Any specific health or fitness goals?*
Part 3 - Physical Activity Readiness Questionaire
Age*
Gender*
Height*
Weight(lbs)*
Do you have any injuries and health conditions that you are looking to improve or that you would like to discuss?*
Check Yes or No
Has your doctor ever said that you have a heart condition and that you should only perform physical activity recommended by a doctor?*
- Yes
- No
Do you feel pain in your chest when you perform physical activity?*
- Yes
- No
In the past month, have you had chest pain when you were not performing any physical activity?*
- Yes
- No
Do you lose your balance because of dizziness or do you ever lose consciousness?*
- Yes
- No
Do you have a bone or joint problem that could be made worse by a change in your physical activity?*
- Yes
- No
Is your doctor currently prescribing any medication for your blood pressure or for a heart condition?*
- Yes
- No
Do you know of any other reason why you should not engage in physical activity?*
- Yes
- No
If you checked YES for any item please describe below, as well as any other health considerations that we should know about.*
Name
This field is for validation purposes and should be left unchanged.

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LET'S KICK THIS THING OFF!

Click below to schedule a free consult with a CrossFit Atlanta coach. This will give you a chance to check out our facility, ask any questions you have, and learn more about our program options and how we help you achieve your goals.

START HERE »

Prospect Profile

Part 1 - Intro Confirmation

Part 2 - Profile

Part 3 - Physical Activity Readiness Questionaire

Like What You See?