FITWITHFLICK
Please provide your information to help us tailor your personal training experience.
Full Name
*
Email Address
*
example@example.com
Instagram
Date of Birth
*
-
Month
-
Day
Year
Date
Do you have any current injuries or medical conditions? If yes, please specify.
Are you currently taking any medications? If yes, please list them.
How would you describe your current physical activity level?
*
Sedentary (little or no exercise)
Lightly active (light exercise/sports 1-3 days/week)
Moderately active (moderate exercise/sports 3-5 days/week)
Very active (hard exercise/sports 6-7 days/week)
Other
What are your primary fitness goals? (Select all that apply)
*
Lose weight
Build muscle
Increase endurance
Improve flexibility
Improve overall health
Other
Please list any specific fitness goals or expectations you have.
What days and times are you generally available for training?
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