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Training Application Form
(30 seconds)

What is your First and Last Name?
What is your Email?
What is your social media username, and which platform do you find me on?
What is your main goal right now?
Lose weight & Gain muscle
Reduce Pain/Stiffness/Injury
Improve overall Function, Health, Fitness
Combination of above / other issue
How motivated are you to achieve these goals? (0 is not at all, 10 is beyond ready!)
1
2
3
4
5
6
7
8
9
10
How long have you had this issue or goal?
0-6 months
6 month-2 years
2 years+
What is the biggest reason why your past efforts to achieve your goals have failed?
Why do you want to work with me rather than anyone else?
Would you like to schedule a free 15min discovery call to see if we're a good fit?
Yes!
No, not really
I'm ready now!
What is your phone number?
For 1on1 Training Programs, In-person trainers/therapists charge upwards of 500$ for a month of sessions, however, we are MUCH more cost efficient. How are you approaching this call?
I am ready to invest in my health and fitness!
My budget is tight, but if I can guarantee my goals then im in!
I am not ready to invest in my health and fitness.
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