Quick Intake Form – Personal Trainer Sacramento

916.730.1679

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In Studio Form 2024

First Name

Last Name

Phone/Mobile

How many times do you workout per week?

In a year from now, what's your dream body look like?

How much progress towards your fitness goals did you make last month?

What roadblocks are slowing you down from attaining your dream body?

Do you have a personal trainer or are you following a specific program you found/bought? If so, please tell us what the program is or what your trainer has you doing.

How is your fitness progress going?

Poorly (zero to little progress)

Struggling (some progress, but not as fast as you'd like)

Successful (good progress, just looking to sustain it)

If you could begin making FAST progress toward your fitness goals, would you be interested?

Yes

Maybe

Could you handle the additional attention you'd get from friends as well as the opposite sex from making such fast progress?

Yes

Maybe

Don't Put It Off...

Contact Us Today

I am there to listen and help you through any situation to ensure your success. I want to see my clients to be able to build confidence and overcome self-destructive behavior.
My overall goal is to help you become a healthier and stronger person.

916.730.1679

Don't Put It Off...

Contact Us Today

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