1:1 IMPACT Performance Protocol

1:1 IMPACT Performance Protocol

A complete protocol for size, speed, and field-ready power.
Name*

First NameLast Name
Birth Date*

MonthDayYear
Gender*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail*
example@example.com
Mobile Number*
Format: (000) 000-0000.
Instagram username *
Occupation *

Fitness Goals & Motivation
What are your fitness goals? (E.g. Build muscle, Lose fat, Increase athletic performance)*
Training Expereience Level *
Additional Considerations - Current programming, exercise preferences, injury, sporting commitments, and other commitments that might affect your ability to train?*

Commitment & Investment
On a scale of 1 to 10, how committed are you to investing in your health & fitness?*
Less than $250/month (I want GUIDANCE)$250-500/month (I want ACCOUNTABILITY)$500-1000/month (I am ready to INVEST in me)$1000+per month (I'm all in on my HEALTH)
Your "Why"
Why should we work together? I want to understand your ‘why’ and what you’re trying to achieve. I work with a small number of clients at a time, so please only apply if you’re ready to commit.*
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Fitness Goals & Motivation