New Client Application
First & Last Name *
Your answer
Height (in) & Weight (lbs) & Age *
Your answer
Email *
Your answer
Tell me a little bit about yourself! :)
Your answer
Health and Fitness related goals *
Your answer
Biggest obstacle in the way of those goals? *
Your answer
Workout experience *
I've never worked out before
I've worked out all my life
Injury history *
Your answer
Current level of fitness *
I workout 0 days per week
I workout 6-7 days per week
Understanding of nutrition *
Does chicken have protein?
I know exactly how to eat for my goals
My biggest issue with food is... *
How many days a week do you want to workout? *
What do you like to do when you exercise? *
Your answer
What equipment do you have access to?
Thing you're most excited about about getting started? *
Your answer
Any last comments, questions or concerns? *
Your answer
How'd you hear about me?
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