Warrior Mindset Intake Form

1

Name* This field is required.

First Name

Last Name

2

Email* This field is required.

example@example.com

3

Phone Number* This field is required.

Please enter a valid phone number.

4

Height

5

Weight

6

What is your primary goal for joining the Warrior Mindset Training Protocol?* This field is required.

7

Do you currently meal prep or follow any type of diet?Keto, Vegan, etc.

YESNO

8

How would you describe your current fitness level?* This field is required.

9

Do you have any medical conditions or injuries that could affect your participation?* This field is required.If so, please provide details in the next question.

YESNO

10

*If applicable, please describe any medical conditions or injuries that could affect your participation.

11

Do you have any dietary restrictions or allergies that we should be aware of?* This field is required.

YESNO

12

How often do you currently exercise per week? * This field is required.

13

How do you rate your sleep quality on a scale from 1 to 10?* This field is required.

15

What are the biggest challenges or obstacles you currently face in achieving your fitness goals?* This field is required.

16

On a scale of 1 to 10, how committed are you to making a significant change in your fitness and mindset* This field is required.10 = Committed to Completion / 1 = Just dabbling

17

Are you aware of and do you accept the potential risks associated with participating in a fitness program?

YESNO

18

Do you consent to the use of your progress photos or testimonials for promotional purposes?

YESNO

19

Is there anything else we should know about?