Mental Fitness Registration
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Email *
Name
Age
Which Program
What is 'YOUR GOAL' for the program
It can be ANYTHING fitness or health related.                                                                                                                                                  Idea's can be Run 5km, Walk 3 times a week, Lose 10 lbs, Eat Healthy, do a triathlon this summer.
What are the top 3 obstacles standing between you and achieve your above goals?
What are area's in your life you are struggling with
Type of ways you would like to communicate with me?
How Many Days a week are you able to Work out?
Clear selection
How Many Hours per workout can you aim for? (This changes based on that days activity but a ball park number will help as we make schedule)
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What time of day do you feel you want to try and work out
What Days of the Week are best for your Workouts?
What Equipment do you have?
What equipment do you have for working out with Kids?
Do you have a Smart Watch (Fitbit, Garmin) or APP on phone that can track distances (map by run, bike etc)
If Yes, which Watch?
What do you have access to?
Are you Interested in Natural Performance Support to help with Pre-During-After workouts? (For energy, muscle recovery and electrolyte hydration)
Clear selection
Is there anything I need to know in terms of Medical, past injuries etc while working with you?
Thank you for filling this out, Let's plan a time to chat now! Fill out below a few DATES, TIMES AND WAYS (phone,txt,email) for our initial conversation!
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