• BOLO STRENGTH AND LONGEVITY CONSULTATION FORM 🏋️‍♂️✨💪

    Complete this form to help us understand your health background, goals, and preferred consultation details.

  • Personal Information

  • Format: (000) 000-0000.
  • Date of Birth*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Preferred Contact Method*

  • Health Screening / PAR-Q

  • Has a doctor ever said you have a heart condition or that you should only do physical activity recommended by a doctor?*
  • Do you experience chest pain during physical activity?*
  • Have you had chest pain in the past month when not doing physical activity?*
  • Have you ever lost balance because of dizziness or lost consciousness?*
  • Do you have bone or joint problems that could be made worse by a change in physical activity?*
  • Is a doctor currently prescribing medication for your blood pressure or a heart condition?*
  • Is there any other reason you should not do physical activity?*
  • Are you currently under a doctor’s care for any medical condition?*
  • Are you currently taking any medications that may affect exercise, energy, balance, or recovery?*

  • Fitness Background

  • Current activity level*
  • Have you worked with a personal trainer or coach before?*
  • Where do you plan to train most often?*
  • What equipment do you currently have access to?

  • Goals

  • Main goal*
  • Area you most want help with

  • Nutrition & Lifestyle

  • Would you like nutrition guidance as part of coaching?*
  • Current eating habits*

  • Coaching Preference

  • Type of coaching interested in*
  • Support that would help most

  • Consultation Booking

  • Preferred Consultation Date*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Preferred Consultation Time*

  • Agreement

  • Should be Empty: