Get started with the quiz
Start Quiz
"
(Required)
" indicates required fields
Step
1
of
9
11%
What is your name?
(Required)
What is your email address?
(Required)
What is your phone number?
(Required)
What is your age?
Under 30
30 to 40
40 to 50
50 to 60
Over 60
What physical challenges do you have?
Multiple Sclerosis
Arthritis
Lupus
Fibromyalgia
Diabetes
Obesity
Cardiovascular Disease
Other
List your physical challenges:
What are your main fitness goals?
Increase strength
Improve mobility
Both
What is your mobility level?
Standing
Walker
Wheelchair
️
Each program comes with seated exercise alternatives for those in wheelchairs.
We ask your mobility level so that David can customize the program for you if necessary.
What is your fitness level?
Beginner
Intermediate
Advanced
Can you set aside time for an at-home workout?
Yes, I'm committed to improving my life!
No, I don't have time to improve my life.
X
️
