Intake form

Name *

Email address *

What are your fitness goals?

Please select at least one option.

Weight loss

Muscle gain

Improved endurance

Enhanced flexibility

Overall health and wellness

Stress relief

What is your current fitness level?

How often do you currently exercise?

What type of training are you interested in?

Please select at least one option.

Personal training

Group classes

Nutrition coaching

Accountability coaching

Workshops and seminars

What challenges have you faced in your fitness journey?

Do you have any medical conditions or injuries we should be aware of?

How did you hear about awaken men’s fitness and wellness?

Additional questions or comments

Awaken Men’s Fitness and Wellness