Mercury Strength and Conditioning Hybrid Intake Form
Email address *
Last Name *
Your answer
First Name *
Your answer
Age *
Your answer
What is/are your goal(s)? * be specific *
Required
How long have you been training/working out? *
Less than 1 year
10+ years
Do you have any current or past injuries? If so, how long ago did it/they happen and any physical restrictions? *
Your answer
How often do you want to train/workout? *
How important is your health to you? *
How committed are you to achieving your fitness goals? *
How are your nutrition habits on average? *
I don't care what I eat
I am so strict that the criminal code has nothing on my diet!
How many hours of sleep do you average per night? *
What is sleep?
10+ hours
What would be some barriers that could impede your progress towards accomplishing your goals? (i.e. inconsistent training, vacation, business trips, family life, etc.) *
Your answer
Where have you trained in the past if you have trained elsewhere? *
Your answer
How did you hear about Mercury Strength and Conditioning? *
Your answer
What do you expect from Mercury Strength and Conditioning? *
Your answer
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