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Trainwithsolly Consultation Form
The information you provide in this form is always kept confidential. Feel free to share openly and honestly with zero judgement
. I look forward to reviewing your form and following up with you shortly!
* Indicates required question
Full name
*
Your answer
What is your current age, height & weight?
*
Your answer
What is your gender?
*
Male
Female
Other
Please select your primary reasons for pursuing a fitness plan. Select all that apply:
*
Build Muscle
Weight Loss
Cardiovascular
Flexibility and Mobility
Required
In your opinion what's holding you back from achieving your goal right now?
*
Your answer
Do you have any health conditions or injuries that I need to know about?
Your answer
How would you rate your current activity level?
*
Not active
Fairly active
Active
Very active
How would you describe your body type?
*
I am naturally slim and struggle to gain weight or muscle easily. (Ectomorph)
I have an athletic build and have the ability to gain muscle and lose weight effectively. (Mesomorph)
I tend to carry more body fat and find weight loss challenging. (Endomorph)
What other benefits would you like to receive from this program? Select all that apply:
*
Improve Sleep
Stress Relief
Increased Energy Levels
Enhanced Mood
Increase Self-Confidence
Improve Focus and Cognitive Function
Improve Mental Health
Required
How would you rate your current diet?
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Not Healthy
1
2
3
4
5
6
7
8
9
10
Healthy
What time of day are you most likely to train?
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Morning
Afternoon
Evening
Do you have access to a gym?
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Yes
No
What is your email?
*
Your answer
What is the best phone number to reach you at?
*I will only text you unless we book a call together
*
Your answer
How did you hear about Trainwithsolly?
*
Facebook
Instagram
Google
Word of mouth
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Other
Do you have any questions or comments you'd like to add?
Your answer
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