Reach Functional Fitness Client Application

1

What's your name?

First Name

Last Name

2

What's the best email to contact you?

example@example.com

3

What's the best phone number to reach you?

Please enter a valid phone number.

4

What is your age?

5

What is your occupation?

6

Are you interested in working with a specific Reach personal trainer?

7

Please indicate if you are following any of the Reach trainers listed below on Instagram:

Taylor - @reachff_taylor

Ethan - @reachff_parkerpwr

Tucker - @reachff_tuck

Cooper - @reachff_cooper

Ashley - @reachff_ashleyb

Emma - @reachff_emmawenaas

8

What's your current activity level?

None. I spend most of my day sitting (less than 5000 steps per day)

I am active 3-5 days a week and spend a large part of my day on my feet (less than 10,000 steps per day)

I am very active 6-7 days a week and have a physically demanding job (greater than 10,000 steps per day)

9

What is your weight training experience?

I have no experience weight training

I have been weight training less than 2 years

I have been weight training greater than 2 years

I have been weight training greater than 5 years

10

How often do you currently weight train?

I do not weight train

I weight train 1-2 times per week

I weight train 3-5 times per week

I weight train 6-7 times per week

11

What category of training are you interested in?

Muscle Building / Hypertrophy

Functional Fitness

General Nutrition

Sport-Specific Training

Strength & Conditioning

12

What are your current diet/nutrition habits?

Very poor

Some good days, some bad days - very inconsistent

I eat "healthy" but lack the knowledge or motivation to reach my goals

Great! I track macros and follow a consistent meal plan

13

On a scale of 1-5. how ready are you to make a financial investment in your health?Choose 1, 2 ,3, 4, 5

1 - still thinking..., 5 - beyond ready

14

Why are you interested in hiring a trainer?

15

If you have an Instagram handle, please add it here: