New Client Application Form

New Client Application Form

Kenzy Green - 1:1/Group Personal Training, Pilates, and Wellness Coaching
Please take 5 min to fill out the following to save us time getting to know you better (fill out for applicant):
Full Name*

First NameLast Name
Phone Number*
E-mail*
example@example.com
Which service are you most interested in?*

Pilates/Personal TrainingPilates + Wellness for SwimmersOsteoporosis/Back Pain FitnessHolistic Wellness Program: Pilates, Personal Training, Mindset & NutritionNot sure, I am open to what I need
How old are you?*
What is your Instagram handle? (Please type "N/A" if you don't have one or do not wish to share it)*
In which city and country do you live?*
Briefly list any active pain/injuries you may have (will go more in-depth later). Type "N/A" if none.*
Let's Talk about YOUR Goals
What are your health & fitness goals? (state at least 2) Eg. lose weight, gain muscle, build flexibility, feel lean, build a healthy relationship with food/body...*
What is your #1 struggle when it comes to achieving the goals above? *
What is the #1 thing you need in order to achieve your goals?*
On a scale of 1 to 10, how committed are you to achieving this?*
I only move forward when something feels like a full-body yes — grounded, clear, and aligned. If we connect and it feels like the right match for both of us, are you open and ready to invest in yourself and step into this next level of support?*
Hell yesss, let's book a free consultation call to go over your goals and see if we'd be a good fit to work together:) Special intro offer when you book a call!*
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New Client Application Form

Let's Talk about YOUR Goals