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New Client Intake Form
Want to workout with me? Lets get some details first so we're leading on the right foot. Invite to my custom training app will be sent after completion.
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* Indicates required question
Email
*
Your email
Are in interested in a specific or general training program?
*
General
Monthly
6 Week Strength Surge
I'm not sure
Other:
Do you have a current exercise routine?
*
Yes
No
Not really but I want help being consistent
Do you have any injuries? Past surgeries?
*
Your answer
Are you a member at a gym or health club?
*
Yes
No
Are you interested in nutritional coaching?
*
yes
no
If yes, are you tracking your food or willing to?
*
Yes
No
Maybe
N/A
How did you hear about me?
*
Instagram
Friend
Google
Local gym
Other:
Are you interested in virtual or In-person training
*
In-person
Virtual
Both/Hybrid
Send me a copy of my responses.
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