Please complete the following form so we get to know you a little better to ensure this package is the right fit for you.

    Contact Information

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    Do you have access to a gym?

    Injuries -Do you have any current or past injury that is important to know about? Be specific. Health Concerns -Do you have any health concerns that may affect your ability to exercise? Job - What do you currently do for work?

    Training History

    Do you currently exercise?

    How long have you exercised? What has been your biggest obstacle to achieving results in the past? What is your biggest challenge now? (Fitness/health/mindset)? Be specific in your answer. What is your current number one health, fitness or mindset goal? Be specific. I am ready to commit and I can afford: Are you willing to commit for 6 months?