Page 1 of 2

Client Intake / Strategy Session Application

Personal Information

Full Name:

*

Email Address:

*

Goals

Which best describes your primary focus for this season of your life?

*

Which best describes your primary focus for this season of your life?

The Foundation: Learning the basics, safety and proper form.

The Build: Adding muscle, size, and power.

The Refine: Losing body fat and leaning out.

The Restoration: Healing from injury or burnout and finding balance.

What do you want your body to be 'capable of' that it currently isn't?

*

Current Reality

Are you currently training?

*

Are you currently training?

A

Yes

B

No

C

Inconsistent

What is the #1 thing currently holding you back from feeling your best physically?

*

If we could move the needle on one are of your life in the next 90 days, which would it be?

*

If we could move the needle on one are of your life in the next 90 days, which would it be?

My physical capability and strength.

My body composition and how I look in clothes.

My relationship with movement and consistency.

My recovery, sleep, and daily energy levels.

Other

Commitment Filter

On a scale of 1-10, how committed are you to making a lifestyle shift right now?

*

On a scale of 1-10, how committed are you to making a lifestyle shift right now?

0

1

2

3

4

5

6

7

8

9

10

Are you in a position to invest in coaching if accepted?,

*

Are you in a position to invest in coaching if accepted?,

A

Yes

B

No

C

Possibly

Final Qualifier

If accepted, are you open to a consultation call to discuss next steps?

*

If accepted, are you open to a consultation call to discuss next steps?

A

Yes

B

No