I want to get to know you!

If you’re ready to get started with virtual or 1:1 local training here in Midland, TX please fill out the following form so I can get to know your goals and needs specifically and give you the best program, product or experience possible.

Name

First Name

Last Name

Training Camp Client Intake Form

Birthday

Height

Weight

We will use these to determine your BMR and TDEE (in The Eat to Fuel Guide)

Occupation

Please describe how active your job is (ie. standing for most of the day, very demanding, desk job-sitting most of the day)

What is your current fitness routine like?

Example: Weight training 3x per week, walking 30 minutes 3x per week, or walking 10,000 steps per day. Be specific so I can understand your weekly activity level! This is on top of your job (or total steps would include your job)

What are your current health and fitness goals?

Include overall health goals: lower cholesterol, get more active, as well as lose weight/gain muscle/change overall body fat and reveal muscle

How long have you been thinking about these goals?

Do you have any experience working with a Personal Trainer or Coach before? What did you like/dislike about that experience?

Have you achieved these goals before and how/how long did it take you? (be detailed if possible)

Do you have any current medical conditions or injuries? If so, what has your doctor cleared you to do and not do?

*please note any heart or metabolic conditions such as high blood pressure, heart disease, surgeries past or present, medications that affect your heart rate or blood sugar.

What is your main reason for starting this new workout routine?

What does your ideal-self FEEL like in the next 6 months?!

Who will support you through this process? (friend/partner/spouse)

Favorite types of music?

Anything fun/hobbies/pets you are really passionate about that you want to share?!