In-Person Training Application
Full Name
*
First Name
Last Name
Age
*
Gender
*
Male
Female
Other
E-mail
*
Phone Number
*
-
Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
What are your top 3 priorities in life right now?
Ex. My health, my family, and my clients
If a genie specializing in health/fitness/body transformations could grant you 3 wishes, what would they be?
*
Its a fitness genie so it can't give you a million dollars
Did you ever play any sports? (Organized or Recreational)
Yes
No
If yes, which sport(s) and when?
What are your top 3 favorite junk foods?
*
What are your top 3 favorite healthy foods?
*
Have you had any injuries, surgeries, or limitations that restrict you in any way?
*
What are your 3 month fitness goals?
*
When did you last feel happy and content with your body and energy levels?
*
What drove you to reach out to me?
*
Why do you think I can help you?
*
What do you think I can help you achieve?
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How committed are you to achieving your health & fitness goals?
*
1
2
3
4
5
Netflix & Twinkies all day!
I'll have broccoli & planks for lunch.
1 is Netflix & Twinkies all day!, 5 is I'll have broccoli & planks for lunch.
Are you willing to commit to training 2-4 times per week (depending on your goals) to get to where you want to be?
*
Yes
No
Is there any other family member or person who has a say in your decision to hire a coach or stick to a fitness program?
*
Yes
No
Let's get to work!
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