I Want To TRAIN

Name *

First

Last *

Last

Gender *

Male

Female

Height & Weight *

Email *

Subject *

Message *

Phone

Which option BEST describes your current situation *

Have a lot of weight to lose (30+ lbs)

Have lost weight but stuck at those last 10-15 lbs

I’m OK with my weight, but want to build muscle/look leaner/”toned”

I’m looking to slim down a little & make the extra 5-10lbs disappear

I’m looking to train for sports performance-related goals

Ultimate Goal *

“Do, or do not. There is no try”. Rate 1-10: How ready are you to take necessary action to achieve your goal ? 1 Being “Not at all, I wan to look & feel the way I do”, 10 being “Let’s get this show on the road, I’m ready to crush it!” *

Rate 1-10: How willing are you to take necessary action to achieve your goal? 1 Being “Not willing at all”, 10 being “Dying to do it” *

Rate 1-10: How able are you to take necessary action to achieve your goal? 1 Being “Can’t do it at all”, 10 being “100% Confident I can do it!” *

What do you feel is your biggest obstacle in achieving your weight loss/ fitness goal? (Nutrition, exercise, accountability, ect…). Why do you think I can help you with that? *

What program(s) have you tried and had limited or no success with in the past? *

Do you have access to a gym or do you prefer home workouts? *

Gym

Home

Both

Any injuries, limitations, or arrows to the knee that I should know about? *

Favorite sports team? There’s only one right answer…

If you are human, leave this field blank.

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I Want To TRAIN

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