New/Potential Client Inquiry Form
Hello!

If you've arrived here chances are that you are ready to feel better in your body, in your mind, and in your life. 

That's our jam!

We are Mac & Tina Dodds, a couple (literally) of Health, Fitness, and Well Being professionals with a passion for helping people enjoy their lives MORE through physical fitness, mindfulness, and boat loads of compassion - because exercising doesn't have to be punishing to produce results.

We are glad you're here and are excited to learn more about what you are hoping to accomplish with our support. 

SIGN UP FOR ONE OF OUR FREE OFFERINGS
** If you're here to sign up for one of our FREE offerings (yay!), you can indicate which one(s) under the "Primary Interest(s)" section below. We'll reach out to you with more information! **

Here's to living good!

Cheers,
Mac & Tina
Get to know us better at www.live-good.us
Sign in to Google to save your progress. Learn more
Email *
First & Last Name *
Phone Number *
Mailing Address
Year of Birth *
How did you hear about us? *
Primary Interest(s) *
Required
Medical History 
Indicate below the conditions that apply to you:
*
Required
List below any other active injuries or medical conditions:
AVAILABILITY
Tell us what days/times work best for you.
AVAILABILITY
Tell us how many sessions a week you are interested in
Clear selection
EXPERIENCE
How are you currently moving your body and how often?
*
EXPERIENCE
Check all that apply:
*
Required
Tell us a bit about yourself and what you are hoping to accomplish with us. 
Have you been successful with this in the past? Share a bit about your experience.
DID WE MISS SOMETHING?
Share anything else you'd like us to know.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report