Lean Fitness Workout Survey
Completing this form will allow me (Randy Bauer) to provide additional learning material specific to Your Fitness Goals. All information provided in this survey will remain confidential, and not shared.
Email address *
What is your major challenge in reaching your fitness goals. *
What specific goals do you have for fitness? *
List 2-3 Goals.
On a Scale of 1 - 10 How would rate your level of fitness? *
Poor
Excellent
Do you have a specific injury that keeps you from maximizing your fitness goals?
If you answered Yes above please describe.
Are you interested in a Personal Coaching Session to address your goals and exercise program? *
If you answered Yes above, please provide your contact information.(Name) *
Name:
Please complete the captcha before submitting the form.
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This form was created inside of Bauer Physical Therapy. - Terms of Service - Additional Terms