Intake Form

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Intake Form

Email *

Name (First and Last) *

Age

Gender

How did you hear about me? *

Interest *

Denver/Arvada 1:1 In Person Training

Remote/Virtual 1:1 via Zoom/Facetime

Remote Programming (I send you weekly/monthly workouts via TrueCoach App with assessments, check ins, form checks etc)

Hybrid (Combo of 1:1 and remote Programming)

I'm not sure yet, let's discuss

Required

Workout Experience (What's the longest time you've been consistent with working out 3+ days a week) *

1 year and under

1-3 years

3+ years

Im all over the place!

Required

Current biggest obstacles getting in the way of consistency? *

Dont know what do do

Lack of results

Injuries

Time

I get bored

Other:

Required

Past or Current Injuries (Small or Large)

Have you worked with a trainer before? (What did you like and dislike) *

What do you want? Goals/Outcome/Time frame you are seeking. (In a perfect world what are you looking to get out of this?) How does the next 1-6 months look like for you? *

Absolute Hates!! (This can be an exercise, a rep range, type of workout etc! Let if fly! What do you absolutely loathe in the gym?) *

Any other questions, comments or concerns?

By clicking “Yes” below, you acknowledge that this is an investment in yourself, your goals, and where you’d like to be over the next 3,6, or 12 months.

Yes I am ready to talk through the next steps.

Send me a copy of my responses.

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