Acadami Fitness Intake
Initial intake assessment for joining Acadami Fitness online training program.
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Email *
What is your full name? (first and last) *
Contact phone number - optional - (home or cell/call or text; please specify):
What is your mailing address? (numbers and street) EX: 1234 Main St Apt A *
What is your mailing address? (city) EX: San Diego - please spell out - *
What is your mailing address? (state) EX: CA *
What is your mailing address? (zip) EX: 92104 *
What is your instagram handle? Please go follow me: @ami_r_davis
What is your birth date? *
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How did you hear about us? / Who were you referred by?         (If you were referred by a friend or heard about our training team through a member of Team Train with Ami, please tell me who that is. if Instagram, Facebook, other..please indicate. EX: "Ami Davis Instagram) *
What is your t-shirt size? ("male" regular tee) *
Do you have any allergies, limitations, diagnosis or medical concerns that your coach should know about? *
What does "getting healthier" look like and feel like to you? What's the point of all of this for you? *
On a scale of 1-10, how committed are you to seeing this through all the way? *
Not committed at all - I just want some info. I want change but I'm not ready to do the work.
Very committed - I'm in it to win it! Let's do this!
On a scale of 1-10, how accountable do you want me to hold you? *
Leave me alone. I will ghost and block you.
Drill Sergeant: I need you to be on me constantly! Bug me, stalk me. I need a pretty consistent push.
True or False: "I understand that to get the results I want, my lifestyle must change and I am committed to that." *
True or False: "I understand that a combination of diet, training, supplementation, and rest/recovery are all important to achieving my desired results." *
My biggest struggle will be: (check all that apply) *
Required
Signs that I am not "feeling it" or that I am "falling away" from the program are: *
The best way to get me back involved is: *
The best way to contact me is: *
(Optional) Any other comments your coach should know?
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