Consultation Form
Welcome to your consultation form!

The purpose of this form is for me to get to know you and have a better understanding where you are currently at in your wellness journey. For me, knowing what it is that you'd like to work towards together helps me to create actionable steps in order to help you reach your goals.

Please answer each of the questions below in as much detail as possible & I will be in touch with you within 48 hours to set-up our initial meet and greet!
Email *
What is your name? *
What is your phone number? *
Which is the best way to communicate with you? (select all that apply) *
Required
When is your birthday? (mm/dd/yyyy format please) *
Do you have any physical limitations or health concerns that I need to know about? (the more information you can give me the better I can serve you) *
What is your occupation? *
What is your address? Address, city, state, zip  (I just might send you something...you never know!) *
Are you already a member of Central Fitness in Camdenton? *
Do you have a social media account? Facebook and/or Instagram? *
What do you feel you need the most help and guidance with? (select all that apply) *
Required
Have you ever worked with a personal trainer/wellness coach before? If so, how was your experience? If not, what concerns if any do you have? *
What are your current health and fitness goals? *
On a scale of 1-5, how committed are you to those goals? *
not committed
extremely committed
How accountable do you want me to hold you? *
no accountability
extremely accountable
When do you feel you are at your best mentally and physically for exercise? (select all that apply) *
Required
When are you typically available/wanting to have your personal training sessions? (We will discuss package options for how often and how many sessions you would like to sign-up for during our meet and greet) *
What have you struggled with or succeeded with in the past when it comes to your wellness and life in general that you'd like to share with me? *
How did you hear about Rachel? *
Is there anything else you want me to know about you? *
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