Workout Sample Request Form
Hey there!

I am so happy to see you here.  It means you know the importance of living a healthy lifestyle and you're thinking starting your own healthy journey.  

This quick questionnaire will give me a better idea of what your fitness goals are.  I'll reach out to you within 24 hours with all the info.  

~ Michelle A. Michel


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Email *
First and Last Name *
What workout program are your interested in trying out? *
What is your IG Screenname?
What is your phone number?
On a scale of 1-5, with 5 being the best, how would you describe your fitness level? *
Worst
Best
What are your fitness goals? *
How did we connect? *
How do you prefer to be contacted? *
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