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Intake form
Help us serve you better
Name
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Email address
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What are your primary fitness goals?
Please select at least one option.
Build strength
Improve endurance
Increase flexibility
Weight loss
Weight gain
Enhance athletic performance
Overall health and wellness
Have you previously worked with a personal trainer?
Select
Yes
No
What is your current fitness level?
Select
Beginner
Intermediate
Advanced
Do you have any medical conditions or injuries we should be aware of?
What type of coaching do you prefer?
Select
Online
In-person
What are your preferred days and times for coaching sessions?
Are you interested in hypnosis or NLP techniques?
Select
Yes
No
Maybe
What challenges have you faced in achieving your fitness goals?
Additional questions or comments
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