📝 Rockin Body & Soul Inquiry Form

📝 Body & Soul Inquiry Form

Thank you for your interest in Body & Soul! Please take a few minutes to fill out this form. Your answers will help us understand your goals and create a personalized wellness plan.
Full Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email Address*
example@example.com
Preferred Contact Method*

PhoneTextEmail
Age*
Occupation*
How did you hear about Body & Soul?*

Social MediaReferralGymOther
What are your main fitness or wellness goals?*
What challenges have kept you from reaching these goals in the past?*
What type of training are you most interested in?*

Strength TrainingWeight ManagementMobility / FlexibilityGeneral WellnessOther
Which program are you interested in?*

6-week9-week12-weekNot sure yet — I’d like to discuss options
How many days per week can you realistically train?*

1–23–45+
Do you have any medical conditions, injuries, or physical limitations I should know about?*
Have you received medical clearance to begin an exercise program?*

YesNo (I will provide a medical letter before starting)
Have you used a fitness program before?*

YesNo
Will you be working out in a gym or at home?*

GymHome
Do you thrive more with personal coaching or team-driven motivation?*

Personal CoachingTeam-driven
Are you looking to gain strength or to just function as a regular human being?*

Gain strengthFunction as a regular human being
Is there anything else you’d like us to know about your fitness journey or what kind of support you’re looking for?*
Should be Empty:

📝 Body & Soul Inquiry Form