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Name
Your answer
Age
Your answer
Phone Number
Your answer
Email
Your answer
Availability (days/times)
Your answer
How many times per week would you like to train at our facility with a trainer?
1
2
3
4
Clear selection
What are your current goals?
Weight loss
Muscle Gain
Both
Other
Do you have any injuries or limitations? If yes, please explain briefly.
Your answer
What type of workouts do you currently do / have you done? (check all that apply)
Bodybuilding
Crossfit
HIIT / bootcamp
Zumba / dance
Cycling
Running
Other
Would you be interested in / willing to do buddy or small group training if it better corresponded with availability? (Keep in mind, this would decrease cost.)
Yes, I am open to buddy or small group training
No, I prefer 1 on 1
Clear selection
Would you be open to working with another trainer on the team besides Mia if their schedule better corresponds with yours for certain days/times?
Yes
No
Clear selection
What have you tried in terms of diet / nutrition in the past / currently? (Check all that apply.)
Macros
Meal plan
Intermittent Fasting
Intuitive Eating
Other
Anything else I should know before working with you can go here. Comment any questions, concerns, etc below.
Your answer
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