INTAKE QUESTIONAIRE

Full Name

Email Address

Gender

Age

Height

Weight

BF% (if known)

Other than the gym, do you participate in any activities or recreational sports?
(If so, how many times per week)

What is your physical goal?
(Select in order of priority)

Goal #1

Goal #2

Goal #3

If "other" please explain here

What is your Training Age?
(How long have you been deliberately exercising for)

What type of facility will you be training at?

How many days per week can you realistically commit to 60-minute workouts?

Are you currently managing any injuries or physical limitations?

Have you had any significant injuries or surgeries in the past?

Please provide any other comments that might help us offer the best recommendation.

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Intake Questionaire