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Bespoke Fitness Ltd. one-on-one consulting
Client intake form for Bespoke Fitness Ltd.

Fill out the form, and we'll get in touch with you shortly to discuss the next steps (don't worry, this form hasn't committed you to anything.)

Email address *
What is your name?
Your answer
What are some beliefs you have about getting in shape? For example: "to lose weight, I have to do lots of cardio (live on the elliptical, etc.) or "weight training will make me bulky"
Your answer
What is your best contact e-mail?
Your answer
Describe your short-term (3-6 month) personal and career goals
Your answer
Which of the following do you need more help with
Describe your short-term health and fitness goals (be outrageous-don't be "realistic" here)
Your answer
How can I help you? You're investing me, and I'm investing in you, and I want to be of as much help as I can.
Your answer
Describe your previous training (workout) experience
Your answer
Have you worked with a personal trainer/coach before?
How'd that work for you? Why or why didn't you get what you wanted out of it?
Your answer
What is your knowledge of nutrition?
Your answer
On a scale of 1-10, how willing are you to make lifestyle changes to achieve the goals you mentioned?
Have you ever counted calories?
What would a change in your body mean to you?
Your answer
Do you have access to a gym?
If you have previous training/diet experience, what worked for you? What didn't?
Your answer
Who has your ideal physique?
Your answer
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