Get Movin' Fitness Initial Intake
Thank you for your interest in my services to get you movin' and feeling fabulous I would be happy to share more with you about how I can help you with my fitness and nutrition programs for total wellness and healthy living! Please help me learn a little more about you by answering the following questions.
Name (first, last)
How did you hear about our services?
What is the best way to reach you?
Are you an interested in
Virtual Fitness Classes Online
Live Fitness Classes at our studio
1-1 Personal Coaching
ALL of the abouve
Are you looking for support with your
Tell me a little about your home / family / work life?
Do you have any restrictions to the way you eat?
Do you have any physical limitations?
Are you currently following or have you tried other nutrition or fitness programs? If so please describe
Is there a type of workout you prefer or would like to try? dance, cardio, weight training, yoga, outdoors, Barre Cardio Kick?
Check any of the following that apply to you.
Diabetes (Type 1)
Diabetes (Type 2)
High Blood Pressure
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