Full Name

Gender

Date of birth

What is Your Age?

Phone *

Email *

Address

Street Address

City

State

Country

Postal code

Do you have any exercise equipment at home?

Do you have any specific body areas you want to focus on?

How would you rate your current level of physical activity?

Are there any sports or activities you particularly enjoy participating in?

Are there any exercises you particularly enjoy or dislike?

If other please specify:

How did you hear about our services?

Organization

Are you committed to arriving at your appointment time?

"You bet 👊 I'm In!

"👻 No, I plan on ghosting you..."

Are you committed to showing up at your scheduled time?

Of, course 😎 I'm in!

👻 No, I plan on ghosting you...

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Committed to honoring our rescheduled meeting?

Yes, I acknowledge a third rebooking won't be possible.