Strong and Skinny Fitness Online Training Application
This form will help me understand what your needs are a little bit better. After you fill it out, I will give you a no-obligation call within 24 hours to discuss your goals a little more in-depth and get you started!

PLEASE NOTE THAT AT THIS TIME I AM NOT ACCEPTING CLIENTS OUTSIDE OF THE UNITED STATES OR CLIENTS UNDER 18 YEARS OF AGE.
First Name *
Last name *
Age *
Gender *
Pronouns you prefer *
Height and Weight *
Email *
Cell phone number *
Do you text? *
What time zone are you in? *
Do you speak any languages other than English? *
Do you have any injuries, health concerns, or general weirdness I should know about? *
Have you ever trained with a PT before? Online or otherwise? Please briefly describe your experience. *
Do you have any dietary restrictions? *
Have you ever been diagnosed or treated for an eating disorder? *
What is your favorite food? *
What have you been doing in the last 6 months for exercise? *
Did you ever play sports in school? If so, briefly describe your experience. *
What is your favorite exercise? *
What is your biggest goal to accomplish in the next 3 months. *
Why is that goal important to you? What will you be able to do/feel like/look like once you accomplish this? *
What exercise equipment do you have access to? (please check all that apply) *
Required
How much are you willing to invest in yourself monthly to accomplish your goals *
On a scale of 1-10, how committed are you to achieving your goals? *
I am still on the couch
I will eat creamed chicken and broccoli all day if that's what it takes
Is there anyone else who may be involved in your decision to hire an online trainer? *
Is there anyone who might hinder your efforts to become healthier? *
Let's book your call! Would you prefer to talk: *
What is the best time to reach you tomorrow? *
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