In-Person Training

1

The gym is located near hwy 410/151 in San Antonio, Texas. Is that doable for you? * This field is required.If this may not be doable please apply for online training and we will speak about possible accommodations!

YESNO

2

Full Name* This field is required.

First Name

Last Name

3

Gender

4

Phone Number* This field is required.

5

E-mail* This field is required.

example@example.com

6

Instagram or Facebook Handle

7

How did you hear about me?* This field is required.

8

Other* This field is required.Please specify

9

What is your current external physical goal?* This field is required.

Tone (Lose fat but gain muscle)

Weight loss

Weight gain

Muscle Gain

Unsure

10

What is your current internal goals?* This field is required.

Find a healthy lifestyle that fits YOU

Feel more confident in your skin

Increase energy and get healthy

Just transform your body

Educate yourself more on health and fitness

11

What would help you the MOST to achieve your goals?* This field is required.

Improving your nutrition knowledge

Improving your fitness/training knowledge

Time management/Organization

Building confidence to go to/in the gym

Finding the right coach for ME

12

What percentage of your daily life are you willing to change to reach your goals?* This field is required.Includes but not limited to eating/drinking habits, routines, etc

less than 25%

50%

75%

100%

14

Space is VERY LIMITED so I can best serve my athletes. If we decide we are you good fit for each other, how soon would you want to get started?* This field is required.

Like yesterday!

Right Now

Maybe in a few weeks

15

What is your current occupation?* This field is required.

16

Do you have the financial resources to you invest in yourself? This program is 1v1, extremely detailed with direct access to me and immense value.* This field is required.

Yes

No

I am willing to find a way

Not sure

17

If we are a good fit and decide to work with each other, will there be anyone else assisting you with this investment?* This field is required.Example: Spouse, parent, friend, etc

18

Anything else I should know?

19

Add photos of your current physique These picture will remain private and will not be shared with anyone else other than me (Deana Richardson)

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20

Please verify that you are human* This field is required.