New Client Intake Form
First and Last name
(Nickname too?)
Phone Number *
Including Area Code
Email Address
For Communication & Links to be sent
Facebook Name
If we're not friends already!
Goals for Fitness
Be specific! Are you wanting to run faster, lose weight, tone up, focus on nutrition?
Timelines for goals?
Clear selection
What are you doing currently for Fitness?
Are you a member of a gym? Do you run a certain # of times a week?
Clear selection
What do you feel isn't working and why?
How could I help PARTNER up with YOU?
Would you like biweekly check ins, texts, facebook chats, etc.? Tell me how I can support you!
Clear selection
WHY is being Healthy and Fit important to you?
Let's dig DEEP here - it's not just about looks, what is your deep down WHY?
Do you have a budget for this investment in your health? What is it & why?
Could other things be adjusted in life to help focus on YOU?
Medical + Injury Background
Do you have any medical issues including heart or breathing issues I need to be made aware of? Has a doctor had to clear you to workout in the past 6 months
Availability to chat with me!
What are 3 availability time slots and days (incl. your time zone) we can chat to discuss all of this and see how we can get you geared up to focus on being UNSTOPPABLE in 2018!
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