Schedule Your Consult with Coach Andie! 
Meet Coach Andie to talk about your current fitness and nutrition habits and leave with a plan to get you to your goals faster! This will take 15-30 min. The more information you can provide, the better Andie can prepare for your call. 
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Email *
What is your name?  *
Phone Number *
What number is best to reach you at?
Gender *
Age *
Commitment Level *
Not sure about committing to a new routine
Ready to do whatever possible to reach goals
How would you like to be contacted?  *
Required
how did you hear about inpower fitness?
what is your fitness goal?
What does your current exercise routine look like? 
24 Hour Dietary Recall
Let Andie know what the last 24 hours of your food and drink intake has looked like. Please include time eaten and the amount of food. Also note any exercise performed. 
Sleep
Tell me about your sleeping habits. 
Always
Sometimes
Rarely
Never
8 Hours
Wake up in the middle of the night
Use bathroom in the middle of the night
Wake up feeling rested
Cravings
Let me know if you have any of the following food cravings.
Always
Sometimes
Rarely
Never
Sweets / Carbs
Salty Foods
Dessert after a large meal
Snack late at night
Need caffeine in the morning/afternoon
Symptoms
Let me know how your body feels on a daily basis. 
Always
Sometimes
Rarely
Never
Muscles Fatigue Quickly
Muscle Soreness
Bloating after Meals
Shortness of Breath
Bruise Easily
Allergies or dietary restrictions?
Clear selection
Have you worked with a personal trainer before?
Clear selection
Have you worked with a dietitian or nutritionist before?
Clear selection
What times are you available to meet?
Please select all that apply
Morning (8a-11a mountain time)
Afternoon (12p-4p mountain time)
Evening (5p-7p mountain time)
Tuesday
Wednesday
Thursday
Friday
Any other comments and/or questions?
A copy of your responses will be emailed to the address you provided.
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