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My Story
Training
Personal Training
Small Group Training
Online Training
Testimonials
Contact
Home
My Story
Training
Personal Training
Small Group Training
Online Training
Testimonials
Contact
Client Intake Form
Please fill out this form as best you can so we can provide you with the most relevant service.
First name
*
Last name
*
Phone
*
Email
*
What is your height and weight?
*
In which type of environment do you prefer to exercise?
*
In-person
Online
Small Group
No preference
What are your main reasons for exercising? Check all that apply.
*
Lose weight.
Increase muscle mass.
Tone up & reshape the body.
Improve health & longevity.
Enjoyment of exercise.
Other
What is your experience with fitness?
*
New to working out.
I worked out in the past and want to get back to it.
I currently workout.
What are your main goals?
*
What do you struggle with most? Check all that apply.
*
Exercise
Nutrition
Accountability
Consistency
Other
What's motivating you to start now?
*
What does success look like to you? Check all that apply.
Fit into old clothes.
Feel stronger.
Ready for a special occasion (vacation, wedding, etc.).
Improve mental health.
Making fitness a priority.
Other
How much are you willing to invest in yourself and your goals?
*
$120 - $300 per month
$200 - $600 per month
$700 + per month
Are you serious about achieving your goals and transforming your life?
*
Absolutely and I'm ready to start immediately!
Still unsure about stepping outside my comfort zone.
Still shopping around. I'm comfortably complacent.
Submit
Let's get you strong!
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