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Gut Check Garage Intake Form
By submitting this form, you are verifying that the doctor has given you a clean bill of health and you've been cleared for physical activity, specifically in the form of weight training.
* Required
Name
*
Your answer
Age?
Your answer
Any Preexisting Conditions? Surgeries? Injuries?
Your answer
Email
*
Your answer
Address
*
Your answer
Phone number
Your answer
What are you interested in?
In person, one on one training
Group, in person training
Online, personalized programming
Online, small group training
What is your weight training background?
Your answer
What are your fitness goals?
Your answer
How many days a week are you looking to train?
Your answer
Availability: If you are looking to train in person, what days and times are you looking for?
Your answer
If you are looking to train online, which of the following do you have access to? (Not needed if you are only training in person)
Barbell
Bumper plates
Bench
Risers or another platform 12-14 inches in height
Dumbells
Kettlebells
45 degree back extension
Cable Machine with adjustable levels
Pull Up Bar
Circle Bands or glute loop (such as slingshot)
Pull-Up Bands
Pull Up Machine
Reverse Hyper Machine
Do you have a preference to how you like to train? (i.e. full body, splits, upper/lower, push/pull)
Your answer
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