FORM B - ONLINE CONTACT FORM
Name:
*
Phone:
*
Email:
*
How would you like to be contacted?:
*
Call
Email
Text
Which coaching format suits you best?:
*
Online Coaching
In Person Coaching
Nutrition Coaching
Not sure yet
What's your primary fitness goal?:
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Weight Loss
Muscle Gain
Creating New Habits
Technique
Injury Rehab
Calisthenics
Have you had any experience with Personal Training/ Nutrition before?:
*
Yes
No
Any other information we need to know about you?:
*
How do you identify your gender?:
*
Male
Female
Non-Binary
Prefer not to say
What country do you live in?:
*
How would you describe your training experience?:
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Beginner
Intermediate
Advanced
How many days per week do you currently train?:
*
Do you have any injuries or physical limitations we should know about?:
*
What's your biggest challenge with fitness right now?:
*
Why do you want coaching from Xavier?:
*
How soon are you looking to get started?:
*
ASAP
Within 2 weeks
Within a Month
Just exploring
Instagram Handle (If Applicable):
*
I consent to being contacted by Xavier from FLX about coaching.:
*
Yes
No
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