One-Time Workout Plan Request
Submit your details, preferences, and any limitations to receive your $70 custom workout plan.
Client Information
Full Name
*
First Name
Middle Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Date of Birth
*
-
Month
-
Day
Year
Date
Gender
Please Select
Female
Male
Non-binary
Prefer to self-describe
Prefer not to say
Training Profile
Current fitness level
*
Beginner
Intermediate
Advanced
Current activity level
*
Please Select
Sedentary
Lightly active
Moderately active
Very active
Athlete
Other
Primary fitness goal
*
Fat loss
Muscle gain
Strength
Endurance
General fitness
Preferred workout style/split
*
Please Select
Full body
Upper/Lower
Push/Pull/Legs
Home workout
Other
Available equipment
*
Bodyweight only
Dumbbells
Full gym access
Resistance bands
Other
Days per week available to train
*
Preferred session length
*
Please Select
15–20 minutes
20–30 minutes
30–45 minutes
45–60 minutes
60+ minutes
Health and Limitations
Injuries or physical limitations
Medical conditions to know about
I acknowledge that if I have any injuries, limitations, or medical conditions, I should consult a doctor before starting a new exercise program.
*
I acknowledge and agree
Plan Preferences
Preferred plan format
*
PDF
Spreadsheet
Video demo links
Specific requests or notes
Submit Request
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