Intake form

Name *

Email address *

What are your fitness goals?

Please select at least one option.

Weight loss

Muscle gain

Increased endurance

Improved flexibility

Overall health

Specific athletic performance

What is your current fitness level?

Do you have any previous experience with personal training?

What type of training do you prefer?

Please select at least one option.

One-on-one training

Group training

Online coaching

Hybrid (in-person and online)

How many days per week are you available to train?

Do you have any medical conditions or injuries?

What is your preferred method of communication?

How did you hear about the body blueprint?

Additional questions or comments

The Body Blueprint