New Client In-Take Form // Pamoja

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

The 12-Week PamojaFit* Program design teaches 2 different strength and conditioning cycling formulas depending on your fitness goals. At Pamoja Fitness, we believe "if you have a body, you're an athlete*! As long as you keep showing up, and doing the work -- this program is designed to help you train like an athlete anywhere in the world.

Which Plan Are You Signing Up For?

Classic - original design of this gym/at-home gym workout system good for beginner to intermediate athletes* (One-time payment – DISCORD program and workouts are yours for life!)

Leans - for those who want a bit more of a more cardio-based/bodyweight and slightly less intensive challenge along with some extra cardiovascular exercises, either for performance or weight loss. (One-time payment – DISCORD program and workouts are yours for life!)

1-1 Virtual Coaching -- customized weekly training program, nutrition plan and 15-minute weekly check-ins ($250/month/minimum-3 months subscription)

Other:

1. Name (First and Last) *

2. Email *

3. Gender *

Female

Male

Prefer not to say

Other:

4. Key fitness goals? (Check all that apply) *

Lose fat

Build muscle

Get stronger

Improve endurance / conditioning

Improve athletic skills

Improve joint flexibility

Body Sculpting / Toning

Improve confidence

Other:

Required

5. Where do you live? *

6. What time of day would you like to workout? *

7. Do you have a gym membership? If so, where do you gym? *

8. Do you have access to an apartment gym? If so, what type of equipment is available? *

9. Do you have access to Dumbbells? *

Yes

10. List your dumbbells (weight and amount)

11. Current mobile device: *

15. How has COVID-19 impacted your exercise and healthy lifestyle routine? *

16. Social Media Handle

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms