Online Client Form
Fill out this form so you can start your fitness journey today.
First Name
Last Name
Email
Phone Number
Age
Weight
Height
What goal do you want to achieve during this experience?
Do you have a history of weight training and what is your current training program?
What does your diet consist of?
How much water do you consume daily?
What do you do for a living?
Currently, where are your stress levels? (Scale from 1-10, 10 being the worst)
How much-uninterrupted sleep do you get on a nightly basis?
Are you currently dealing with any injuries or dealt with injuries in the past? (Strains, pulls, brakes, tears, surgeries, etc.)
Are you taking any medications or dealing with any health issues?
How many times are you able to go to the gym consistently?
What gym do you train out of and what equipment do you have available at home?
My available times for Consultations are Mon-Fri from 4pm-8pm and Saturday 12pm-4pm pacific time. Please let me know what days and times you are available.
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