I’m so glad you’re here! Whether you’re a beginner, an expert, or somewhere in between, I’m ready to meet you where you are on your journey and help guide you along the next steps.

Intake Questionnaire

Please fill out this form before your appointment. Thanks!

Name *

First Name

Last Name

Email *

Phone *

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Select the closest answer of your daily life *

Select all that apply

Workout regularly

Overweight

Struggle with nutrition

Struggle with mobility

Overwhelmed about health and wellness

Had a trainer or health coach before

Injuries that may affect activity

Have clear goals

Unsure what I need help with

Retired

Student

Young children at home

Live alone

Tell me about you. What is your daily life like?

Rate your average daily stress level

Select any that apply

High stress at work

High stress at home

Moderate stress

Regularly low stress

What are some things you're hoping to get from working with me?

Is there anything else you'd like me to know?

Thank you! I look forward to working with you soon! Please sign up for a coaching call by following the link below!

Thank you for filling out the form! If you haven’t already, please use the button below to schedule your appointment and take your next steps to a healthier, more confident, and stronger life! I’m looking forward to helping you feel empowered and successful.

Let's do this! Schedule your call here.

Email Me

Kimberly Hartman | Owner: Hartman Health and Fitness | Founder of the AYM Method

Serving the greater Peoria, Illinois area and worldwide with in person and virtual support