Name* First Last Email* Height*Age*Weight*Has your doctor ever advised you to be cautious of physical activity. Do you have a history of injuries? Any surgeries?*What is your occupation? Do you find yourself sitting for most hours of the day?*How many days of the week do you, or would you like to workout?*What is your daily activity level? (Refer to PDF)*What is your current caloric intake? Please estimate if you do not know.*Strengths? Weaknesses?If you have tracked macros before, what has worked best for you in the past? What has not and why?Favorite thing to do or eat?? (Just a fun question, I want to get to know you :))Program Duration Selection*8 Weeks-$200/mo6 months Paid Upfront - $180/mo12 months Paid Upfront - $170/moConsent* I agree to the policy.I am not a physician or registered dietitian. My role as a Certified Personal Trainer is not to diagnose, treat, cure or prevent any health problem-nor am I able to provide the same advice as a physician. Always consult your physician or qualified health professional on any matters regarding your health. Please advise my services are suggestions and advice based on my knowledge and certification. Consent I am aware of that all monthly plans are offered for a minimum of 2 months and require a 30 day notice for all cancellationsTotal $200.00
