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Virtual Training Inquiry Form

First name

Last name

Phone

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Age

What are your fitness goals?

Is there a certain time frame you are trying to reach these goals in?

How long have you thought about acheiving these goals?

What are some reasons you feel you haven't reached them in the past?

Are you currently doing any exercise at all? If you are, what are you doing?

How many days a week to you want to train virtually and what time?

Have you ever worked with a trainer before? If you have, why did you stop working with them?

What equipment do you currently have? EX: 5, 8, 10lb dummbells, bench, etc.

How did you hear about me? * Required

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Rebecca will get back to you within 24 hours.

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