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Trinity Intake — 90-Day Readiness

This takes 4–6 minutes. Answer honestly. This decides your best next step.


A. Identity + Contact

Your Full Name

Email Address

Phone Number / Número de teléfono

Preferred Coaching Language / Idioma de preferencia

Preferred Coaching Language / Idioma de preferencia
A
B

Age + Occupation


B. Primary Goal (Outcome)

What do you want 90 days from now? (short answer)

Pick Your Top Goal

Pick Your Top Goal
A
B
C
D
E
F
G

C. Current Baseline (Reality)

Current Weight (Optional. No Judgement.)

Target Weight (optional)

Current Weekly Training Frequency:

Current Weekly Training Frequency:
A
B
C
D
E
F

Current Nutrition:

Current Nutrition:
A
B
C
D

Biggest Struggle Right Now (Pick 1)

Biggest Struggle Right Now (Pick 1)
A
B
C
D
E
F
G
H

D. Clarity On Problem Points

How Long Have You Been Trying To Fix This?

How Long Have You Been Trying To Fix This?
A
B
C
D
E

What Have You Tried Before? (Check All)

What Have You Tried Before? (Check All)
A
B
C
D
E
F
G
H
I

Why Didn't it Stick? (Short Answer)


E. Readiness + Integrity

Are you willing to train at least 3x/week for the next 90 days?

Are you willing to train at least 3x/week for the next 90 days?
A
B

Are you willing to log your nutrition daily (simple tracking)?

Are you willing to log your nutrition daily (simple tracking)?
A
B

Are you willing to submit progress photos?

Are you willing to submit progress photos?
A
B

Are you willing to show up for the 3 required calls (Kickoff/Progress/Testimonial Results)?

Are you willing to show up for the 3 required calls (Kickoff/Progress/Testimonial Results)?
A
B

On a Scale of 1-10, How badly do you want this change? (Number)

What happens if nothing changed in the next 6 months? (short answer)


F. Constraints (So Your Plan Fits Real Life)

Biggest Obstacle You'll face:

Biggest Obstacle You'll face:
A
B
C
D
E
F
G
H
I

Injuries or Limitations We need to know? (Short Answer)

Best Training Environment:

Best Training Environment:
A
B
C

Best Days/Times to Train (Short Answer)


G. Best Routing For You

Which Best Describes what you Need?

Which Best Describes what you Need?
A
B
C

Are You Currently Interested in Breathwork / Nervous System Regulation Support?

Are You Currently Interested in Breathwork / Nervous System Regulation Support?

H. Budget + Commitment

Which monthly level are you most comfortable with right now?

Which monthly level are you most comfortable with right now?

Are You Open to Commiting for 6-12 Months if the plan Works?

Are You Open to Commiting for 6-12 Months if the plan Works?

Final Confirmation

I Understand this call is to build a plan for my health and decide next right steps for me. If I'm not ready to commit to action and adjust current habits, Trinity Health Movement is not a good fit for me.

I Understand this call is to build a plan for my health and decide next right steps for me. If I'm not ready to commit to action and adjust current habits, Trinity Health Movement is not a good fit for me.