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Fitness Consultation Request Form
First name
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Last name
Email
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Phone number
Gender Identity
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Male
Female
Non-Binary
I prefer not to say
Other
Birth Date
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Month
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Day
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Year
Current weight (lbs)
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What are your current priorities as we work together? (Check all that apply)
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Build muscle
Lose fat
Get stronger
Build endurance
Feel healthier
Sport specific
I'm not sure. I just want to look good naked!
What do you currently do for exercise and resistance training?
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How often do you go to the gym? For how long?
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How would you describe your diet over an average week?
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What option best described you?
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I want slower progress that is sustainable. I want to maintain this for a long period of time.
I need quick results that aren’t sustainable. I understand this is only short term, but I need a boost.
Tell me more about yourself and your goals.
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What are your expectations of me?
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What are your expectations of yourself in this journey?
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Submit