Training/Nutrition Application Form 
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Email *
Name *
Birthday *
MM
/
DD
/
YYYY
Gender *
What service are you interested in? *
What are your health and fitness goals? *
What do you hope to achieve throughout our coaching together?  *
What is your experience with gym? *
What does your exercise currently look like? i.e. type, length, frequency, etc *
Do you have any injuries, medical conditions or take any medications that require special consideration in regards to exercise?  *
Do you have access to a gym? *
How would you rate your nutrition currently? *
Worst
Best
What days can you realistically train each week? *
Required
How would you rate your readiness to change? *
Not ready
Very ready
Have you had a coach before? If so, please give some information on this experience.  *
The minimum commitment period for coaching is 12 weeks. Do you agree to at least 12 weeks of coaching?  *
Is there anything else you would like to add?  *
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