Constitution Fitness Client Intake Form
Please fill out this form to help us understand your background, medical history, and fitness goals. Your information will help us tailor a personalized fitness plan for you.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
What is your instagram username?
*
Instagram username
Date of Birth
*
-
Month
-
Day
Year
Date
What’s your goal? (Be specific and to the point)
Please provide detailed medical history, including any past injuries, surgeries, chronic conditions, or current health issues.
*
What have you tried so far in regards to achieving this goal? ( Diets / Training programmes / Coaches / Gym efforts and what progress did you make)
What has stopped you achieving your goals so far?
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In 6 months time what would you need to of achieved in order for you to label working with me a success?
What made you want to work with JK, over so many other coaches out there?
Please share any additional information or concerns that can help us customize your fitness plan.
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