Strength Programming & Coaching Application Form
First Name *
Your answer
Last Name *
Your answer
Email *
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Phone Number *
Your answer
Instagram Handle (or FB Profile Name) *
Your answer
Gender *
Date of Birth *
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List any current and/or past injuries, surgeries and/or any other medical limitations. If none, write “none”. *
Your answer
What is your #1 struggle to improve your fitness, mindset and/or overall well-being? *
Your answer
What have you tried in the past that hasn’t worked? *
Your answer
What is/are your current goal(s) related to fitness, strength, mindset and/or overall well-being? *
Your answer
What does success look like to you? What would you like to accomplish in the next 3 months? *
Your answer
Which best describes you? *
On a scale of 1-10 how committed are you to your fitness and strength training goals? *
I'll only exercise if it's my New Year's resolution & I'm OK with using the pink dumbbells.
I WANT TO BE ABLE TO LIFT MY OWN SUITCASE & CARRY MY HUSBAND OR WIFE OUT OF A BURNING BUILDING!
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