BARRE BLISS + TRAINING INQUIRY
Please fill at this form to inquire about training or classes with Rebecca.
Email address *
Name *
Your answer
Phone *
Your answer
What are your health and wellness goals/objectives? *
Required
What fitness service are you interested in? *
Required
Do you have any injuries or health concerns that Rebecca should be aware of? *
Your answer
Do you currently exercise weekly? *
IF you are currently exercising weekly, how many times per week and for how long?
Your answer
Rate your fitness level *
Beginner
Advanced
What days/times are you looking for training/a class? *
Your answer
Is there other information you’d like me to know, or do you have any questions you’d like me to address?
Your answer
Today's Date
MM
/
DD
/
YYYY
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service