Client intake

Intake Form

This form is completely optional — it just helps me build a more personalized plan before our consultation. Only your name, email, and preferred language are required; share whatever else you're comfortable with. Everything you send is kept private and handled per our Privacy Policy.

01

Basic Information

Which program interests you?

No worries if you're not sure yet — we'll figure it out together during your consultation.

02

Goals & Experience

What are your primary fitness goals?

Select all that apply.

How would you rate your current fitness and weightlifting experience?
03

Body Metrics

All optional — only what you're comfortable sharing.

04

Health & Medical History

05

Availability & Commitment

How many days per week can you realistically dedicate to workouts?
How much time can you commit to each session?
Where do you plan to work out?
06

Lifestyle & Nutrition

On average, how many hours of sleep do you get per night?
How would you rate your daily stress levels? (1–10)
1 — Very low10 — Very high
Are you interested in a customized nutrition plan to complement your training?
07

Final Thoughts

Your information is kept private and handled per our Privacy Policy and Terms & Conditions. This form does not provide medical advice.