6 Week Challenge Intake Form

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This form is only for prospective clients who want to train in Fitman's 6 Week Fitness Challenge.

Email *

Name *

First and last name

Phone Number *

Address

What are you here for? *

I want to get healthier and transform my physique. I'm not happy with how I look or feel.

I want to challenge myself. My workout routine has not delivered any results in a long time.

What's your current fitness status? *

I'm in bad shape and I have not worked out in a long time.

I'm in decent shape, I work out every now and then, but I'm inconsistent and don't have a program.

I'm in good shape, but I want to get into great shape and do not know how to achieve that.

What's your dream outcome? *

I want to improve my health metrics like my blood pressure/resting heart rate, lose some weight, and feel better.

I want it all. I want to get stronger, build muscle, lose body fat, get healthier, feel better, and transform my physique.

How long would it take you to accomplish this on your own? *

Do you want to continue to train after you reach your goal? *

Yes

What does your current workout routine look like? *

Why do you want to do want to train with Fitman? *

Physique transformations are not easy. Will you take my recommendations and do what I ask in order to help you reach your goal? *

Yes

Why are you applying now? *

Why do you think you will succeed? *

My average fitness client sees objective results (strength and muscle mass increases, body fat reductions) within 3 months. Are you OK with this? *

On a scale of 1-10, without using 7, rate your current physique. 1 is out of shape and 10 is an elite athlete. *

What does the ideal body that you desire look like? *

Have you struggled to get into great shape before? *

Yes

Have you struggled with sticking to your training and nutrition program before? *

Yes

Do you think you would get stronger, leaner, and healthier if you had an expert helping you along the way?
*

Yes

Do you think you would build a better body in terms of health, aesthetics, and performance if you had daily accountability? *

Yes

A copy of your responses will be emailed to the address you provided.

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