First Name
Last Name
Email
*
Phone
*
Date of birth
Preferred Contact Method:
Preferred Contact Method:
Phone
Email
SMS
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What are your primary fitness goals?
Lose Weight
Build Muscle
Improve Cardiovascular Health
Maintenance
Do you have any specific fitness challenges or limitations we should be aware of?
8 Week Transformation Intake Info:
Describe your dream outcome, regarding your health and fitness?
Why haven’t you reached this as of yet? Be Honest.
On a scale of 1-10, how serious are you about changing your life, forever?
I'm a 1
I'm a 2
I'm a 3
I'm a 4
I'm a 5
I'm a 6
I'm a 7
I'm a 8
I'm a 9
I'm a 10
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Are you ready to follow a specific Fitness and Meal Guide System?
Are you ready to follow a specific Fitness and Meal Guide System?
Yes
No
Maybe
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What Time Slot Are You Attending For Class?
5:45 PM - 6:45 PM
7:00 PM - 8:00 PM
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How did you hear about us?
I agree to
terms & conditions
provided by the company. By providing my phone number, I agree to receive text messages from the business.
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