New Client Questionnaire

Name

First Name

Last Name

Email Address

Age

Height (Inches)

Weight (Pounds)

Planned Start Date

MM

DD

YYYY

Occupation

Experience Level (1-10)

1: Beginner 5: I can find my way around a gym, but not sure what I'm doing 10: Professional Athlete

Planned Event

Wedding, Summer Body, Lifestyle Change, Competition, etc.

Medical Limitations

Ex: Bad hips and Knees, no squatting, etc.

Fitness Goals

Build Muscle, Shred Fat, Booty Camp, Overall Health, Competition, etc.

Access to GYM

YES

NO

Address

So I can send you your FREE JRF Tee (60 and 90 Day Transformation Programs)

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

How did you find me?