Thrive and Conquer Intake Form FITNESS CONSULTATIONThrive and Conquer Fitness Consultation Form Full NameEmailPhoneAddressAddress Line 1Address Line 2CityPostal CodeAgeGender Non-Binary Male Female OtherGenderWhat are your fitness goals? Lose Weight Gain Muscle Build Strength Improve Well-being Increase Performance OtherOtherWhy are your goals important to you?How committed are you to achieving your goals on a scale from 1 to 10 and why?How can we help you achieve your goals?Do you have a time frame for reaching a particular goal?What factors have prevented you from achieving your goal(s)?Do you have any health concern or medical issues I need to be aware of?Which types of exercise appeal to you? Bodybuilding Functional Training HIIT (Hight Intensity Interval Training) Olympic weightlifting Calisthenics (Bodyweight Strength) Cardio OtherOther exercisesWhat are your nutritional habits (meals/snacks per day, calorie consumption)?What activity is required of your occupation?What lifestyle changes are you willing to make?How many days per week do you want to work out? 1-2 3-4 5-6 EverydayHow did you hear about us? Instagram Facebook Social Media App Google BNI Referral OtherHow did you hear about us?Full Name of ReferralSpecial CodeIf you don’t already have an appointment please provide three options for your 30min zoom call consultation.Numeric FieldSubmit Form
