1:1 Online Training Intake Form
Finding what’s right for your fitness journey with my guided advice and full support providing you the tools you need to succeed ! ♡
Client Details:
Full Name
*
First Name
Last Name
Phone Number (if preferred)
Format: (000) 000-0000.
E-mail
example@example.com
Age?
Medical History (Injury/Illness/etc.)
What are your main goals?
What are some of your main concerns or struggles refraining you from achieving your goals?
Type a question
What type of training are you interested in?
Option 1
Option 2
Option 3
Option 4
How much time per day are you willing to dedicate to achieving your goals?
10 min
30 min
1 hour
As much time as it takes
How many days per week are you willing to dedicate to your program?
1
2-3
3-4
4-5
Other
How would you describe your current activity level? (1 being little to no activity and 10 being very active.)
1
2
3
4
5
6
7
8
9
10
My priority is to help you invest in your tomorrow. I’m here to help you develop a better understanding of your body, it’s needs, and what it takes to get to where you want to be. All you have to do is show up for you, push through, trust the process, and enjoy your progress. It’s your time to put in the work it takes to be your best self. Are you ready to invest in the new ✨YOU✨?
Please Select
Do you have any questions for me?
Preferred method of contact?
Email
Phone - Text
Phone Call
No preference
What is the day of the week/time of day to reach you?
Submit
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