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New Client Intake Form
Thank you for your interest in my online training programming. Together we can build your best physique!
Please complete all questions as accurately as possible. Once you've filled out the intake form Brandon will reach out to you via text message to get started on your programming!
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Email *
What is your full name? *
What is your cell phone number? *
Where do you currently live? *
How old are you? *
Do you have any food allergies? If so, please list them. *
How many times a week do you currently train? *
What time of day do you usually/prefer to train? *
Do you smoke tobacco? *
Do you drink alcohol? *
Do you have any current injuries that would prevent you from intense training? *
If you answered yes above, please list them here.
Do you stress often? *
How many days per week can you dedicate to training? *
How many hours in those days can you dedicate to training? *
What is your immediate fitness goal? *
What supplements are you currently taking? *
How would you describe your training experience? *
Are you currently on any prescribed medication? *
If you answered yes above, please list them here.
What is your height? *
What is your current weight? *
Do you have a desired weight? *
Is there anything else you'd like me to know before we start? *
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