Number Of Years Training: *

0-1 year2-4 years5+ years

Current Nutrition : *

GreatNot idealOkay

What's Your Goal? : *

Lose FatGain Muscle

Where would you say you are with your fitness knowledge?: *

BeginnerIntermediateAdvanced

Have you been with a coach or PT before? : *

YesNo

If so, what was the outcome? :

Hit my goalDidn՚t hit my goal

Are you willing to track your nutrition daily? : *

YesNo

We have a strong community at NKPT; do you have a positive mindset? : *

YesNoDepends

There is a minimum term of 16 week to complete the initial process (I can't guarantee I can deliver results to you in a shorter period). Are you sure you can commit to a 16 week period to achieve your goal with me and our community? : *

YesNo

Any other notes? :

Name: *

Surname: *

Phone: *

Email: *

Confirm Email: *

Date of birth: *

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