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Personal Training Questionnaire
UpLift Athletics Personal Training, click Here for more info!
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Hi! I'm Daniel Robinson, owner of UpLift Athletics, and thank you for scanning my QR code!
Fill out the form below and once you've completed it, I'll contact you about scheduling a free consultation. I'm offering cheaper sessions for the new year, contact me for pricing!
First name *
Last name *
Preferred pronouns
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Phone Number *
Email *
What is the best way to reach you? *
How comfortable are you with exercise? *
Uncomfortable
Comfortable
Approximately how many hours per week do you usually spend exercising? *
Do you have fitness goals? If so, what are they?
 *
Do you have mental health goals? If so, what are they?
Do you have any health concerns I should know about? i.e.. Asthma, Previous injury, Arrhythmias, etc... *
How did you find out about UpLift Athletics?
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Any additional questions for me?
Thank you for filling out my questionnaire! Email me if you have any other questions and I'll get back to you within 1-3 days, but until then check out my social media or my website!
My Instagram
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