Intake form

Name *

Email address *

What are your fitness goals?

Please select at least one option.

Weight loss

Muscle building

Strength training

Endurance training

Flexibility improvement

Overall health and wellness

What is your current fitness level?

Do you have any previous experience with personal training?

Do you have any injuries or physical restrictions?

Do you have any dietary restrictions or preferences?

Please select at least one option.

Vegetarian

Vegan

Gluten-free

Dairy-free

Other

None

What is your preferred method of communication?

Please select at least one option.

Email

Phone

Text message

Video call

What is your age range?

What is your primary motivation for seeking fitness training?

Which service or services are you interested in?

Please select at least one option.

1:1 online personal training

Nutrition coaching

Accountability program

Additional questions or comments

JNTFitness LLC