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Ck Bootcamp Fitness Summer Body Transformation
First Name
*
Last Name
*
Gender
*
Contact Number
*
Email
*
Height
*
Birthdate
*
Age
*
Weight
*
Why do you need/want a trainer?
*
Do you have reliable transportation?
*
Do you have reliable transportation?
A
Yes
B
No
What are your fitness & nutrition goals?
*
(Check top 3 most important goals)
What are your fitness & nutrition goals?
Learn to eat a balanced diet
Decrease body fat
Tone muscles
Learn to balance activity & diet reduce stress
Increase strength & power
Create a healthy lifestyle
Improve speed & agility
Improve overall health
Increase flexibility
Athletic performance
Healthy weight increase
Other
What is keeping you from achieving your fitness & nutrition goals?
*
(Check all that apply)
What is keeping you from achieving your fitness & nutrition goals?
Lack of motivation
Time
Hitting a plateau
Self-conscious
Not knowing where to begin/How to begin
Money
Lack of results
Do you have any physical or medical limitations that would affect your fitness journey I should be know?
*
Do you currently follow an exercise regime or structured program
*
Do you currently follow an exercise regime or structured program
A
Yes
B
No
How many times a day do you usually eat?
*
(Including snacks)
This Specialized program requires you to exercise 4 days a week, 2 WITH instructor (unless out of state), and 2 days by yourself. CaN you be consistent and disciplined to that commitment?
*
This program is designed to legitimately change your physique. Don’t believe me, look at myself. Living product. Not just a better body, better mental, confidence, and discipline.
Now: Then:
Now: Then:
Submit
