Intake form

Name *

Email address *

What are your fitness goals?

Please select at least one option.

Increase strength

Weight loss

Muscle gain

Improve endurance

Enhance flexibility

Boost overall health

How many days per week do you plan to train?

What is your current fitness level?

Do you have any dietary preferences or restrictions?

Please select at least one option.

Vegetarian

Vegan

Gluten-free

Dairy-free

None

What types of workouts do you prefer?

Please select at least one option.

Weight training

Cardio

Yoga

Pilates

HIIT

Functional training

Do you have any previous injuries or medical conditions?

What equipment do you have access to?

Please select at least one option.

Dumbbells

Barbell

Resistance bands

Kettlebells

Cardio machines

None

How did you hear about us?

Which service or services are you interested in?

Please select at least one option.

Personalized fitness coaching

Nutrition guidance

Accountability Fitness Coaching

Performance Coaching

Additional questions or comments

Performance Coaching Only: What field are you in? What specific areas are you trying to improve—fitness, business, mindset, or all of the above? What’s your ultimate goal and how far are you willing to go to get there? *

Uptred