Consultation Interest Form to Functionally Fit
You made it here because you are looking for a different approach to make your fitness results last a lifetime with efforts that fit into your busy work and family schedules. Functionally Fit Custom Fitness is dedicated to helping men and women transform their bodies and their lifestyle with custom designed, age-appropriate fitness training and nutrition programs.
Please fill out the application below, and we'll contact you within 24 hours to see if you are a good fit for our programs.

COVID-19 UPDATES
In-Person Fitness training appointments will be resuming May 2021 (Coach Frego is awaiting 1C vaccine availability). Limited appointments will be available for individual and semi-privates of 2 persons. Safety protocols will be in place to ensure IL health compliance and maintain flattening the covid curve.
Thank you again, I look forward to helping you get back to fitness and improve your health.
Email address *
Name *
Cell Phone
Are you local ( with in 8 miles of Glenview and Deerfield IL?) *
How Did Find Us? *
What kind of program are you most interested in learning about *
Required
If you had to guess, how much weight are you looking to lose?
Clear selection
Since the Stay at Home Order, what level do you feel your fitness and health is at currently.
Clear selection
Besides the Stay at Home Order being unable to go to a gym. Why are you wanting to get back into shape and get your health back on track? Why Now? *
What are the biggest challenges you have in reaching your fitness goals? *
What is your current fitness level and knowledge of training with wieghts? *
The best time for us to contact you within 24 hours.
Time
:
What is the best video conferencing you prefer *
Do you have any questions or concerns about beginning a fitness or nutrition change program with Functionally Fit?
Thank You!
Thank you for your time. Remember, there is no one-size-fits-all approach to fitness success. With Custom Fitness Coaching from Functionally Fit, you will break through your barriers with a program that is personalized for you as an individual. We will contact you as soon as we assess your document. In the mean time, please visit our web page
www.functionally-fit.com
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