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New Client Form

Are you interested in working with Thea as a personal trainer? Please fill out this form!

Email *

Virtual Training Application form

What's your name?

what's you phone number?

Please Check any fitness goals you have:

lose weight

gain strength

create a fitness habit

get more flexible

learn more about nutrtion

I am interested in becoming vegan

I am already vegan

I have specific fitness goals

I don't know I want to be healthier

What are your goals?

What do you think holds you back from your fitness goals? ( Check all that apply)

too busy

I work alot

I don't know

I have supportive people around me

I feel too lazy

I don't get enough sleep

I have to take care of other people

I am a parent

I don't know what to do

Option 10

Are any of these your goals?

run a race ( 5k, 10k, 1/2 marathon, etc)

do the splits!

touch my toes

lose 10 pounds

lose more than 25 pounds

not have knee pain

not have back pain

increase my core strength

lift heavier

Learn about nutrition

What is your life like? What is a typical day for you like?

Do you have any medical issues or injuries I should know about before I write you a program?

I am a certified Vegan Health Coach, but I am not a registered dietitian so I cannot prescribe you a meal plan. I can help you create your own meal plan that works for you. The key to weight loss is in the kitchen. If you are interested in losing weight or learning more about diet, please tell me what "diets" you've tried. What foods you like, which foods you don't like? ( skip if you're only interested in workouts)

how often do you workout now?

every day

3 to 5 times a week

1 to 3 times a week

maybe once a week

I have an active job ( not sitting at a deck) but I don't exercise

I exercise every couple of months

I haven't exercised since PE in highschool

Clear selection

what has held you back from fitness so far?

how often would you like to workout?

If you magically achieved all your fitness goals instantly, what would your life be like?

Is there anything you want me to know? Please give me 3 business days to respond to this email. lets set up a 15 minute phone call to touch base and then schedule you a workout!!!

My Contact info:

Send me a copy of my responses.

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