Full Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Instagram @
How do you prefer to be contacted?
Text
Phone call
Instagram (DM)
Age
Current Weight
What is your main fitness goal?
Weight gain
Weight loss
Gain muscle mass
Improve general health
Other
Do you currently exercise?
Yes I do, but I don’t see results.
Somewhat, I’m not too consistent.
Not at the moment, but I used to.
No, I am new to exercise.
What type of coaching are you interesting in? (NOTE: In-person training is limited to Fontana area)
1:1 Private In-Person Training
Online Coaching (App-based)
If you selected in-person, what days/times are best?
Do you currently have a gym membership?
Yes, I have a gym membership.
No, but I am open to signing up to a gym.
No, I prefer to work out at home.
Have you ever had a personal trainer?
Yes, I have.
No
Briefly explain your specific fitness goals and what are some of your struggles. Have you tried to reach your goals on your own before? What is currently holding you back from reaching your goals? (e.g. lack of discipline, lack of knowledge, gym anxiety, etc.). Feel free to add any other information you think is important for me to know.
How soon can you start training with me?
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