Five Thirteen Strength Coaching Questionnaire

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Name *

Sex *

Male

Female

Other:

Age *

Email Address *

Phone Number *

Instagram or other form of training log (if applicable)

Preferred Contact Method *

Text Message

Phone Call

Other:

Required

What type of coaching are you looking for? *

Personal Training (hands-on, trainer-guided) - Starting at $80/hr

Strength/Powerlifting Coaching (hands-off, more self-guided) - $90/month

Other:

Required

When would you like to start coaching? *

Minimum 2 full week notice required for new requests to start coaching. We will work with you to discuss your needs and goals prior to starting. We can almost always accommodate requests and get you started within 2 weeks, but cannot guarantee this will be your exact start date.

YYYY

Do you currently train at/plan to train at Five Thirteen? *

Current member

I will join when the coaching starts

I am a remote client

If answer to above was remote client, please list your gym name and location below:

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