SF Online Client Intake Form

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860.470.7395

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Congratulations on taking a step towards better health and joining the SF Online Training community.

Please complete this SF Online New Client Intake Form and push Submit. A trainer will review your responses, verify your purchase on MindBody, and reach out within a week.

(If you haven’t completed your transaction in MindBody, please click here to purchase your package now)

Name *

First

Last

Email *

How did you find SF Online? If you were referred by a current Sculpt Fitness member please list them here. *

Check all that apply to your primary goal for training: *

Fat Loss
Muscle Gain
Strength Gain
Cardiovascular Endurance

How often do you currently exercise and what do you do? (Be honest! We are not judging) *

Have you ever worked with a Personal Trainer in the past? *

Do you have any significant medical concerns that would impact your ability to exercise or do certain exercises? *

Do you have any equipment at home? I.e. dumbells, kettlebells, bench, bike, treadmill, etc. Please list anything you have here (including weights of dumbells etc) *

Do you currently smoke? *

Do you take any medications *

Rate your commitment level to your success, on a scale of 1 – 10 (1 being no motivation, 10 being extremely self disciplined and committed)

Selected Value: 0

Describe your current daily diet routine, including any snacks between meals: *

Are you currently logging your nutrition daily? *

When would you prefer your weekly check in? Please give a few options or ranges i.e. Thursdays between 4 PM and 8 PM or any Monday Wednesday or Thursday evening. *

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LiveSculpted® is a Registered Trademark of Sculpt Fitness, LLC.

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