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Black Bear Fitness, LLC: Client Interest Questionnaire
Thank you for your interest! Please complete the following to help me to get to know you prior to our first meeting! Once completed, I will reach out to you to schedule your consultation.
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Email
*
Your email
Please enter your first and last name
*
Your answer
What is your current age?
*
Your answer
What is your
gender?
*
Male
Female
Other
Which program are you interested in?
*
Level 1: Playful Panda--> Macros only
Level 1: Playful Panda--> Workout Plan only
Level 1: Playful Panda--> Both macros and workout plan
Level 2: Grizzly Grit--> Macros and/or personal training monthly plan
Level 2: Grizzly Grit--> Macros and/or personal training 3 month plan
Level 2: Grizzly Grit--> Macros and/or personal training 6 month plan
Level 3: Polar Power--> Both macros and personal training monthly plan
Level 3: Polar Power--> Both macros and personal training 3 month plan
Level 3: Polar Power--> Both macros and personal training 6 month plan
Why are you interested in my service(s) and how did you find me? Did a current client refer you?
Your answer
What areas of your personal fitness and/or nutrition would you like to improve? Do you have any goals?
Your answer
Please note below your main social media handle in case emails land in spam and I can reach out to you via a different platform.
*
Your answer
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