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Client Application Form
Want good habits that last you a lifetime? Let me help you! Achieve your goals with me.
I offer:
Workout Plans
Personal Training
1-1 Nutrition Coaching
(Nutrition Plans)
Generic Beginner Program
(Home)
Women's Workout Program
Learn more about each program on my website -
https://www.upnorthathletics.com/
Completing this questionnaire will help me customize a
SPECIFICALLY
for
YOU
!
* Indicates required question
Email
*
Record my email address with my response
What is your first + last name?
*
Your answer
What is your email or phone number?
Your answer
What is your primary fitness goal?
*
Your answer
Are you at a point where you feel ready to commit to your fitness goals?
*
Absolutely YES!
I am thinking about it.
No, not yet.
Other:
What is the main thing you've struggled with in your fitness journey?
*
Your answer
What would you say is the biggest thing holding you back from achieving your fitness goals?
*
Your answer
What are you looking for?
*
Workout Plans
Personal Training
1-1 Nutrition Coaching (Nutrition Plans)
Generic Beginner Program (Home)
Women's Workout Program
Have you thought about budgetary constraints?
*
I am willing to spend less than $150
I am willing to spend less than $250
I am willing to spend less than $500
I am willing to spend more than $500
Other:
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