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Intake form

Help us serve you better

Name *

Phone number

Email address *

Birthday

What are your primary fitness goals?

Please select at least one option.

Weight Loss

Muscle Gain

Increased Endurance

Improved Flexibility

Overall Health

Sport-Specific Training

What is your current fitness level?

How many days per week can you commit to training?

What type of training do you prefer?

Please select at least one option.

Strength Training

Cardiovascular Training

Flexibility Training

High-Intensity Interval Training (HIIT)

Sport-Specific Training

Do you have any previous injuries or medical conditions we should be aware of?

What equipment do you have access to?

Please select at least one option.

Dumbbells

Barbell

Resistance Bands

Kettlebells

Cardio Machines

None

What is your gender?

What is your occupation?

What is your preferred training time?

How would you rate your current nutrition habits?

What type of support do you expect from your coach?

Please select at least one option.

Motivation

Accountability

Nutrition guidance

Exercise programming

Injury prevention

Have you worked with a coach or trainer before?

What is your main reason for seeking online training?

Are you currently following any specific diet?

Please select at least one option.

Keto

Paleo

Vegetarian

Vegan

Mediterranean

None

Additional questions or comments

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