Tell me about yourself. Let's start with some basic information about you. What is your first and last name? * First Name Last Name What is your email? * Phone Number optional (###) ### #### Age * Which form of communication do you prefer? * Phone Call Text Email How did you hear about me? Personal Referral Instagram Google Facebook YouTube Xiaohongshu Now some information about your current health state. Based on your background with fitness, rate your experience level. * Beginner Intermediate Advanced List all of the activities you are currently involved in. * Important note: All programs require gym access. Indicate how strongly you agree or disagree with each of the following statements. * You are an incredibly active person. Strongly Disagree Disagree Neutral Agree Strongly Agree You'd consider your current state of health and wellness to be healthy. Strongly Disagree Disagree Neutral Agree Strongly Agree You have little to no stress. Strongly Disagree Disagree Neutral Agree Strongly Agree You feel advanced and confident in my body coordination and movement. Strongly Disagree Disagree Neutral Agree Strongly Agree Describe your current eating habits. * Your goals! Describe a few life goals. * These can be fitness or non-fitness related. Describe a few specific fitness goals. * Injuries or limitations Optional section Do you have any pre-existing or current conditions, injuries, or complications? Neck/back Shoulder Knee Ankle/foot Hand/wrist Other None Describe the injury. Include the date of injury and all practitioners you're working with, if any. That's it! Add any final questions or comments here. Thank you! You’ll be hearing from me soon.
