Individualized Training Programming Intake Form
Hello! Please tell us a little about yourself by completing a few questions. This will help us individualize a program specifically for YOU!
What is your full name?
What is the best e-mail address to contact you and send mobile app account activation?
What are your goals?
What area of fitness are you interested in improving the most?
Building muscle mass
Losing body fat
Improving athletic/sports performance
Improving general health
How much exercise experience do you have?
3 months - 1 year
1 year - 5 years
5 years +
Think of how much time that you have been exercising on a regular, consistent basis
Do you have any current or previous injuries that impact your ability to exercise?
Do you currently have access to a gym?
⟶ If you answered No, what exercise equipment do you have access to?
How many days per week are you able to exercise?
Select Number of Days
What are you looking for in a coach? (If you have worked with a coach/trainer in the past, how was your experience?)
How motivated are you towards reaching your goals?
0 = 0% motivated - 5 = 100% motivated
Is there anything else that you would like to share with us?
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