Services
Training Services
Thai Massage & Reflexology
Reiki
Walk & Talk Holistic Life Coaching
Clean the Tank - 12 Week Program
Day Retreats
Workshops
Meet Sandi
Testimonials
Contact
Services
Training Services
Thai Massage & Reflexology
Reiki
Walk & Talk Holistic Life Coaching
Clean the Tank - 12 Week Program
Day Retreats
Workshops
Meet Sandi
Testimonials
Contact
Online Training Form
Please complete the form below
Name
*
First Name
Last Name
Email
*
Age
*
Phone Number
*
Can I text this number?
Yes
No
Sex
Male
Female
Other
Rather Not Say
What would you like to achieve with this plan? Select all that apply.
*
Fat Loss
Weight Gain
Muscle Growth/Muscle Hypertrophy
Increase Strength
Powerlifting
Put on Lean Muscle
Other
Please explain your goals in more detail. Include specifics (i.e defined arms, prepare for an event, etc.)
*
Do you have a specific timeline in mind?
Where will you be working out? If home or gym, please indicate the equipment you have.
*
Where would you describe our fitness level and knowledge to be?
*
Beginner
Intermediate
Advanced
Are you currently following an exercise program?
*
Yes
No
Briefly describe your "fitness history" (i.e things I've done in the past - experience running, weightlifting etc.)
*
How many days per week can you commit each week? Be Realistic.
1
2
3
4
4
What date are you looking to start your workout program?
*
MM
DD
YYYY
Please list and explain any injuries, weaknesses, and/or imbalances (i.e shoulders, knees, back etc.) Be specific (i.e do any exercises in particular aggravate this area?)
*
Please list any medical concerns (i.e high blood pressure, heart condition asthma etc)
*
Thank you!
