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New Client Intake
1
What is your fitness goal?
Choose as many as you like
Weight Loss
Cardiovascular Health
Strength
Build Muscle
Stress Management
Nutrition
Confidence
Other
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2
What is preventing you from reaching your fitness goals?
Choose as many as you like
Not enough time
Not sure what to do
Lack of mativation
Lack of support from family/ friends
Injuries
Other
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3
Which statement best describes you?
I have workouts down and need nutrition guidance
I have nutrition down and need workout guidance
I would like coaching on both workouts and nutrition
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4
Do you have any of the following?
Choose as many as you like
Diabetes
High Cholesterol
Thyroid Condition
High Blood Pressure
Heart Problems
Ongoing or Chronic Illness
Had Recent Surgery
Pain or Swelling in Muscles, Tendons, or Joints
Currently Pregnant
Given Birth Within the Past Year
Other
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5
Why do you want me to be your personal trainer
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6
Are you applying for In-Person (Dallas) or Online Training?
In-Person
Online
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7
Your investment in me is an investment in yourself. Are you financially willing and capable of investing in your fitness? Are you ready to work towards creating the best version of yourself for the next 3+ months?
I'm Ready! Lets GO!
Still on the fence
I think I'm ready, but I want to hop on a consultation call first
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8
What is your contact information?
First name
Last name
Phone number
Email
Instagram Handle
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