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We're here to help you with everything from diet to full fitness training. Fill out the consultation form below to get started.

First Name

Last Name

Email Address

Phone Number

Date of Birth

Height (Feet / Inches)

Weight (Pounds)

Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor?YesNo

Do you feel pain in your chest when you do physical activity?YesNo

In the past month, have you had chest pain when you were not doing physical activity?YesNo

Do you have a bone or joint problem (for example, back, knee or hip) that could be made worse by a change in your physical activity?YesNo

Is your doctor currently prescribing drugs (for example, water pills) for your blood pressure or heart condition?YesNo

Do you know of any other reason why you should not do physical activity?YesNo

How many hours/day and days/week do you work?

Medical History (any diagnosis/allergies/recent surgeries). List all medications (prescription/herbal and dosages)

Musculoskeletal History (any back/neck pain, injuries etc when? Treatment you’ve had and is it resolved?)

Activity History (describe your exercise routine in the last 3 mos in detail/wts, reps, cardio)

What time of day will you typically be training?

What are your goals?

What services are you interested in? (Select all that apply)Gym MembershipPersonal TrainingNutrition Program

Thank you for taking the time to fill out the consultation form! We will be in contact as soon as possible to talk about next steps.

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