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Intake form
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Name
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Email address
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What are your fitness goals?
Please select at least one option.
Build muscle
Lose fat
Increase endurance
Improve mobility
Enhance overall health
Train for a specific event
Rehab from an injury
What is your current fitness level?
Select
Beginner
Intermediate
Advanced
Have you previously participated in any fitness programs?
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Yes
No
What types of workouts do you prefer?
Please select at least one option.
Strength training
Functional training
Hybrid Training
Cardio
Yoga
Pilates
High-intensity interval training (HIIT)
Do you have any medical conditions or injuries?
How many days per week do you plan to train?
Select
1-2 days
3-4 days
5-6 days
What is your preferred training location?
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In-person
Online
Either
What is your age?
What is your height?
What is your weight?
Which service or services are you interested in?
Please select at least one option.
1:1 online coaching
1:1 In-Person training
Workout programs
Initial consultation for $150
Follow-up consultation for $100
Additional questions or comments
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