2:1 Training Intake Form
We will help you uncover your blindspots and problem areas that are holding you back, create a custom fitness and nutrition plan aligned to your goals, and help you simply and create a sustainable lifestyle so you can stay committed and get the results you’re looking for. Take time filling this form out so we can understand your goals.
Name
*
First Name
Last Name
Email
*
example@example.com
Today's Date
*
-
Month
-
Day
Year
Today's Date
Phone Number
*
Please enter a valid phone number.
Age
*
Height
*
Current Weight
*
Allergies/Food Sensitivities?
*
Describe you overall health & fitness goals and desire for improvement that made you decide to take this next step.
Describe your current activity level
Sedentary (sit a lot, little movement)
Light activity (exercise 1-3x a week)
Moderately active (exercise 4-5x a week)
Very active (exercise 6-7x a week)
Extremely active (physical job, exercise 5-7x a week)
Describe your comfort level with weight training
Please Select
Very beginner, never lifted
Beginner, some experience
Intermediate, I've lifted in the past and am comfortable with weights
Advanced, I've lifted for years
What concerns do you have about this next step you are taking to exercise? What makes you worried or nervous that we should know about?
What excites you about this journey? What do you want this journey to look or feel like in 3-6 months? What does success look like for you?
Submit
Should be Empty: