Full Name
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Email
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Phone
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What experience do you have with fitness? Please list any other workout or nutrition program you have been a part of in the last two years.
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Please list any injuries or areas of concern in regards to your fitness (aches and pains, previous injuries, etc).
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Do you experience knee pain?
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Yes
No
Please explain (level of pain, arthritis, related to a past injury, etc) related to your knee pain?
Do you experience Shoulder pain?
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Yes
No
Please explain (level of pain, arthritis, related to a past injury, etc) related to your shoulder pain?
Do you experience Back Pain?
Yes
No
Please explain (level of pain, arthritis, related to a past injury, etc) related to your back pain?
What does "Success" Look like to you?(What has to happen for you to feel like this was the best decision you've ever made?)
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Are there any specific areas of the body you’re hoping to focus on in your program?
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How many Small Group Training sessions are you planning on doing per week?
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1 Sessions Per Week
2 Sessions Per Week
3 Sessions Per Week
4 Sessions Per Week
5 Sessions Per Week
Preferences
Our goal is to provide the best coaching to you as an individual based on your preferences. Please help us understand the best way to work with you!
How quickly are you expecting to see results?
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Now!
I know they’ll come
However long it takes
No rush, I just want to do it the right way
Beyond working out, what do you expect from us?
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To be challenged and pushed
To enjoy the process and the people
To feel comfortable and supported in the gym
To learn new things (science of exercise/nutrition)
What would make you unhappy here? 12
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Not being challenged enough
Lack of positive reinforcement, energy and support
Too intimidating/not comfortable
Lack of structure