Wellness Intake Form

Welcome to Flex & Flow!

We’re so glad you’re here. This form helps us better understand your goals, experience, and what you’re looking for so we can personalize your journey from the very beginning.

Take a few minutes to answer thoughtfully, and we’ll take care of the rest.

Full Name*

First NameLast Name

Gender

MaleFemale

Email

example@example.com

Phone Number

Area CodePhone Number

Age

years

Height

in

Weight

lbs

What’s your occupation?

How did you hear about Flex & Flow?

What's the activity level at your job?

None (seated all day)Moderate (light activity such as walking)High (heavy labor, very active)

What is your primary health or fitness goal?

What have you tried in the past, and what felt missing or didn’t work for you?

Why is now the right time for you to commit to this journey?

Do you have any injuries, limitations, or health concerns we should be aware of?

Do you currently go to the gym or have access to a gym?

YesNoHome gym/private facility

Are you interested in yoga, personal training, or both?

YogaPersonal Training/ HybridBoth

On a scale of 1–10, how ready are you to make consistent changes?

What do you feel you need the most support with?

AccountabilityJust starting!I've hit a plateau & I need to change thatOther

Are you ready to invest in your wellness journey?*

YesNo

How do you prefer to be contacted?

CallTextEmail

Thank you for sharing this with us!

We’ll review your responses and reach out within 24–48 hours to discuss next steps. We’re looking forward to connecting with you.