New River Valley Wellness
540 391 0664
Home
About Us
Massage
Corporate Wellness 
        Yoga
Training
Blogs
Contact Us
Events

Welcome!
Upcoming Events
News
Blog




Personal Training

We offer training for all ranges of people. From senior citizens, to kids, athletes, or the average Joe. Our training programs are customized to suit your fitness needs. With proper nutrition and exercise we can help you build strength, flexibility and aerobic health enabling you to comfortably negotiate the physical demands of your activities, work performance and lifestyle.

If you can't get to the gym, we come to you.....

All of our training sessions take place in your home, office, gym, or outdoors. You might find that it is more convenient to work out in the comfort and privacy of your home. Our in-home fitness techniques include the use of free weights, jump ropes, resistive tubing, Swiss ball, exercise step, and mat. We could remove every piece of gym equipment and still give you the greatest workout.

Long-term success depends on a dedication to a serious lifestyle management program. Here at NRV Wellness our greatest hope is to help you make positive changes in your life. We will teach you to reduce unhealthy body weight, develop lean muscle mass, and increase your level of physical activity.  Fitness is a condition of both the mind and the body -- the two are not separate. It takes a healthy mind to make a healthy body, to enjoy the fullness of life. 



PLEASE CALL OR EMAIL TODAY TO SCHEDULE A 
CONSULTATION 
540 391-0664 tone@nrv-wellness.com
Online Training Questionnaire



BASICS

Name *

Age *

Gender *


Email *


LIFE & FAMILY

Kids: Yes or No

If yes, how many? Ages: 

Do you feel you're fighting pregnancy weight, weight from a specific life change or changed drastically recently?




Living situation : (Family, husband, roommate, parents, siblings, boyfriend, girlfriend?) etc. Please list :



WORK

What is your typical work schedule during week or weekend?


Not mandatory, but if possible, list where you work:


Do you feel it's hard to keep healthy eating habits where you work or in your home?


What is your typical breakfast, lunch and dinner?





GOING OUT & FOODS

How often do you go out to eat on a weekly basis?



How often do you cook dinner at home? Please list your typical dinner you would cook/eat:



List your 5 biggest weakness cheat foods:




List your 5 favorite healthy foods:




Out of the following foods, please check which ones you do *not* like:















How many days a week do you consume alcohol? What kind of alcohol if so?


Do you drink coffee? If yes, how often & what do you put in it?


Do you drink soda? If yes, how often?



PHYSICAL ACTIVITY

Are you a member of a gym?


If yes, where? Name of gym & location?


Do you take any workout classes currently? If yes, please list:


Do you own any of your own workout equipment in your home? If yes, please list:


Aside from a gym or group classes, what other physical sports or activities to you participate in ? (Ex: hiking, running, bike riding, etc.)


Is there a specific event in your life in the near future you're attempting to be in certain shape for or are you just trying to get healthier in general? If yes to event, please list type of event and / or date:



BODY

Lying will only hurt you! If I don't know your actual size it will make it harder to truly estimate what to work on & your results. Tell the truth please. That's why you're here, remember?
Current Weight: 

Height:

Size Shirt:

Size Dress:

Size Pants:

Which of the following are you leaning most towards?






On a scale 1-10, How determined are you? 

Avocado
Grapefruit
Pears
Asparagus
Brussell Sprouts
Black Beans
Sweet Potato
Raisins
Carrots
Kale
Cucumbers
Brussell Sprouts
Bananas
Fish
Chicken
Geek Yogurt
Blueberries
Pepers
Cottage Cheese
Yogurt
Almonds
Quinoa
Popcorn
Cottage Cheese
Cauliflower
Broccoli
Zucchini
Losing weight & inches + toning
Losing weight / slimming
Losing fat / putting on muscle / toning
Putting on muscle / gaining weight by turning fat into muscle
Apples