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Work With Me Form

To best serve you please fill out this form. It will only take you a few minutes.

It will help me see where you are on your fitness path, so I can asses how I can best help you. 

Once I receive this form I will reach out to you via email. 

Press the button to start.

Start

Question 1 of 7

Please enter your name:

Question 2 of 7

Please enter your best email: 

Question 3 of 7

Have you ever exercised before and if so, when was the last time?

Question 4 of 7

What type of exercises do you enjoy or have you done recently?

Question 5 of 7

Do you have any physical limitations?

Question 6 of 7

What are your fitness/health goals?

Question 7 of 7

Do you have any type of exercise equipment?

Confirm and Submit