SugarPot Fitness 1:1 Coaching

SugarPot Fitness 1:1 Coaching

Please take the time to fill out this form to further determine how to create a customized plan perfect for you!
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Birthday *

MonthDayYear
Age?*
Where are you located? *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Time Zone?*
BeginnerIntermediateAdvanced
Do you have any medical conditions or injuries I should be aware of? *
YesNo
Are there any diet restrictions or preferences I should consider? Allergies?*
Do you experience pain in your body? If so, where? *
YesterdayLast weekLast monthA few months agoIt’s been a while
Weaknesses in the body when working out? *
How much do you weight? And do you have a goal weight? If so, please state below. *
HealthyRegularEating out
1 month3 months6 monthsUntil results are achievedA while to maintain results
What time(s) are you available to workout on a weekly basis? *
What is your current occupation? *
Are there any stressors or factors in your life that may affect your ability to commit to a fitness program consistently?*
Weight lossMuscle gainToningImproved flexibility and endurance
GymOutdoorsHome
YesNo
WaistArmsBackBootyLegsAll the above
Monthly membershipNo commitment
1x2x3x4x5x
Yes, I understand this will be virtual trainingI’d rather do in-person training.
$0-$100$150-$250$300-$500$500-$1000
According to todays date, when would you like to start our sessions? *

MonthDayYear
Date
Any questions, comments, or concerns that Sugar should know? *
Please upload 3 angle pics from the front, right side, and left side with no face, shorts on, and lift your shirt to your bra showing your lower body.*

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