Personalized Programming Application
I am thrilled that you are interested pursuing your health goals through fitness. Please fill out this application if you are interested in personalized programming and allow 24-48 hours for me to review it and get back to you! Best, Dr. Farah
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Email *
Please provide your first and last name *
Please provide your age & gender *
Please provide your email address *
What service are you interested in? *
Required
What is/are your primary fitness goal(s)? *
What has been stopping you from achieving those goals? *
How committed are you to achieving your personal health goals? Personal training/programming is an investment you are making in yourself & your level of commitment is number one in being successful. *
How many days a week do you want to train? *
Which days of the week are you planning on training? Check all that apply *
Required
How much time do you have available to train daily? *
Do you follow a specific training style? If so, which one?
Are there any exercises/methods that you enjoy and would like incorporated into your program? If so, which one(s)?
Are there any exercises/methods that you dislike and would prefer to be left out your program? If so, which one(s)?
Where do you train & what equipment do you have access to? *
Do you have any health conditions, injuries or limitations that I need to be aware of? If so, please list below *
Please provide a brief overview of your training experience, including what lifts you have experience with. *
Please provide any additional information you would like to share that is pertinent to your training program
A copy of your responses will be emailed to the address you provided.
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