Intake Form

Please describe any injuries or surgeries you have had that could affect the way you workout.

Please describe current workout plan if any.

Do you have any allergies? or Difficulty Breathing on Exertion? Do you take any medication?

Please describe your health goals? Weight loss, better sleep, better cardiovascular health, muscle gain and or retention, creation of lean muscle mass, toning, shaping, overall body fat loss?

Do you plan to exercise on days off from training with me?

Do you seek nutritional counseling?

Please provide 3 ideal days and times for scheduling purposes.

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