Please Fill Out the Information Below

Please Fill Out the Information Below
Full Name*

First NameLast Name
E-mail*
example@example.com
How old are you? *
What is your primary fitness goal? (Please check all that apply)*

Weight LossBuild Muscle/ StrenghtImprove FlexiblityLifestyle ChangeSpecific Sports Performance
How important your goal is to you? *

1

2

3

4

5

1 is Worst, 5 is Best
How long have you been thinking about this new lifestyle change?*

1-2 months3-6 months7-12 months
How active are you throughout the week?*

Sedentary- I do very little to no exercises throughout the week.Lightly Active - I agree in light exercises or physical activity (walking, light stretching, etc) 1-3 days per week.Moderately Active - I participate in moderate exercise (gym workouts, running, cycling, etc.) 3-5 days per week.Very Active - I engage in intense exercise or physical activities (high-intensity workouts, sports, etc.) 5 or more days per week.
What was the hesitation holding you back from getting started?*

Time/ Too BusyFinancesThe "Perfect" ProgramNew to the GymOther
Committing to something like this means showing up with your time and energy — why does now feel like the right time to possibly step into a commitment like this? *
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