Rooted & Strong 1:1 Coaching Application
Which best describes your current activity level?
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Please Select
Just getting started with regular exercise
Occasionally active (1-2 times per week)
Moderately active (2-3 times per week)
Consistently active (3+ times per week)
Are you able to participate in moderate strength training?
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Please Select
Yes, without restrictions
Yes, with some modifications
Not sure, would need guidance
No, I have significant limitations
What’s your biggest fitness challenge right now?
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0/100
Why are you interested in faith-centered fitness?
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How does your faith influence your health journey?
*
Full Name
*
First Name
Last Name
Email Address
*
Confirmation Email
example@example.com
Phone Number
*
Please enter a valid phone number.
Age
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Please Select
Under 18
18-24
25-34
35-44
45-54
55-64
65+
Promotional Code (Optional)
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