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Personal Training & Nutrition Coaching
Please complete the form below to schedule your free consultation.
You will be contacted shortly after by your preferred method (phone or email)
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Email address
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Your email
Name
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Your answer
What is your main reason for reaching out?
I've tried everything and want help
I want to learn proper form/ How to exercise
I need motivation
Someone I know works with you
Other:
Clear selection
What platform are you interested in?
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In-Studio (Located just 3 minutes from Quakertown Turnpike)
Online
Hybrid
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Option 1
Clear selection
What would you consider your current activity level?
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Very Active (4+ days a week)
Somewhat (2-3 days a week)
Very low to not at all 0-1 (days a week)
Other:
What are your goals for a fitness program? Check all that apply.
More Energy
Weight Loss
Increase Strength
Build Muscle
Perform daily tasks easier
Endurance
Other:
What type of coaching are you looking for?
Personal Training
Nutrition Coaching
Wellness Coaching - stress reducing techniques, time management, etc.
Combination of above
Clear selection
How long have you tried to reach your fitness goal?
*
Recently
Less than 1 year
More than 1 year
Have you tried in the past to reach these goals? If so what have you tried?
*
Gym Membership
Self help Books
Diet
Personal Trainer or Health Coach
Group Classes
Supplements
Online Program
I've never tried
Other:
Required
If you have tried before, what was your experience like?
Your answer
How much are you willing to invest in your program?
*
$50 per week
$100 per week
$100+ per week
Other:
How ready are you to implement a new program?
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Not at all
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When can I start?
How do you prefer to be reached?
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Phone
Email
Other:
What is the best number to reach you at?
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Please share any comments or questions below.
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