Let’s start your fitness journeyPlease fill out the new client intake form below. Thanks! Name * First Name Last Name Email * Phone (###) ### #### Date of Birth * MM DD YYYY Height (ft) * Weight (lbs) * What are your fitness goals? * Do you have a goal weight (lbs) that you want to acheive? * How many days a week can you dedicate to acheiving your fitness goals? * How dedicated are you to your fitness goals rated on a scale of 1-10? * Have you had a trainer before? * Yes No If yes, how was that experience? Rate your activity level on a scale of 1-10 * What other activities do you do, other than traditional workouts? * Do you have any favorite workouts? Are you interested in any other type of workouts beyond weight lifting? Do you have any current injuries? * Are you cleared to workout by your doctor? * Yes No Do you have any other medical issues that could prevent you from working out? Thank you!