New Digital Client Intake Form
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Name *
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Email *
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Address *
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Phone number
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Preferred Method of Contact
Birthday
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Gender
Body Weight
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Height
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Success is in the details. Tell us how you train so we can build the right program for your experience and needs.  
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What type of experience do you have with exercise?
What are your general goals?
Chose 1 or more
Weight Management
Body Building
Strength
Endurance
Sports Performance
Sprint Speed
Vertical Jump
Multidirectional Speed
Flexibility
Health Management
Energy / Vitality
Stress Management
Reduce Aches & Pains
Nutrition
Other
Play a sport? What level?
What sport or sports?
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Where will you be performing the program provided?
Choose 1 or more
Home Gym
Commercial Gym
Crossfit Box
Outside
School Gym
Other
Select the equipment group that you have access to.*
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If you do not have any, we highly suggest purchasing at least the Resistance Selection or go to our Recommendations Page for equipment.
Do you currently use an activity or Heart Rate tracking device?
How often do you strength train?
What days do you want to train?
When would you like to begin your training program?
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Are you preparing for a competition or specific date? When is it?
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Do you choose to opt out from completing the Health History Questionnaire?   If yes, you are assuming there are no medical risks that I, Dusten Brunner, or any other entity of Brunner Sports Development and Fitness, LLC should be aware or concerned for. It is your sole responsibility to notify the "BrunFit" professional you are working with if something your forgot to mention or new arises.
If you chose to opt out of the form, please provide any concerns, risks, or injuries we should be aware of below.  
Your answer
Thank you! You're on your way to a personalized program developed by Coach Brunner delivered directly to your smartphone via the BridgeAthletic App. Give me about 24-48 hours and your program will be ready. If we need anymore information, we will reach out to you.
If you are searching for product, equipment, or supplement recommendations, please visit our Recommendation Page here.
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