Intake Form

Ready to Get Stronger, Fitter, and Finally Reach the Goal You’ve Been Putting Off?
(Only fill this out if you’re ready to commit to the version of you that’s waiting on the other side.)

Intake Form

First Name

Last Name

What’s your #1 fitness goal?

What will it cost you—physically, mentally, or emotionally—if you don’t reach this goal in the next 6 months?

What’s your current routine—and why do you think it hasn’t worked?

If nothing changed, how long would it take you to hit your goal alone?

Who do you want to become through this process?

How many days can you commit to your goal?

On a scale of 1–10, how ready are you to invest time, energy, and money into reaching your goal?

What’s held you back from hitting this goal before?

Have you struggled in the past with staying consistent?

Yes

Have you struggled knowing which exercises are the best for your goals?

Yes

Do you believe your future self is worth the effort you put in today?

Yes