emPOWERed Fitness Personal Training and Nutrition Intake Form
Congratulations, you took the first step toward your goals! Well, maybe your 100th step, but this one will be the biggest step to catapult you toward those goals. Working with a coach is a great investment that will guarantee success. We take this very seriously. Changing lives is our favorite thing! Its why we have a process like we have. First of which is to learn just enough about you to pair you with the best trainer for you. After completing this form you will be contacted by our personal training and nutrition coaching director. She will give you more details about our programs and match you with the best trainer, or check on the availability of the trainer you request. You can be sure you are in good hands now, you have the whole team on your side!
Email address *
Name *
Phone Number *
Birthday *
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In your own words, tell us about your goals. The more details the better *
In your own words, tell us about your current exercise habits. The more details the better *
In your own words, tell us about your current nutrition habits. The more details the better *
In your own words, tell us about your work/ family life/ schedule. The more details the better *
In your own words, tell us about why you want to work with a personal coach? The more details the better *
What time of day are you available to schedule a consultation? This will help us match you with a trainer that has the same availability and openings in your time frames *
emPOWERed Team
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