JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Paragon New Client Form
New Client Information
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Name:
Your answer
Best phone # to contact you?
Your answer
How did you hear about us?
Your answer
What are you interested getting help with?
Weight Loss
Building Muscle
Nutrition
Proper Strength Training
Accountability
Education
Support
Other:
Have you ever worked with a personal trainer?
No
Yes
Clear selection
What has stopped you from reaching your fitness goals?
Your answer
What are your top 3 goals for the year?
Your answer
What kind of physical activity are you currently doing?
Your answer
Are you able to invest in your health and fitness now?
Yes
No
Clear selection
Rate your desire to make change in regards to your health and fitness goals:
Low Motivation
1
2
3
4
5
6
7
8
9
10
Highly Motivated
Clear selection
Is there anything you would like the Paragon Team to know?
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
