TinaBFit

My social media account is @TinaBFit Please make sure to follow and tag me on anything you please. I LOVE seeing my clients kicking butt!

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Full Name *

Email Address *

Address

Street Address Address Line 2 City State/Prov/Region Postal/Zip Country

Phone Number

Instagram Handle

@TinaBFit

Birthdate

Month / Day

Are you cleared to exercise?

DO YOU HAVE ANY HEALTH CONDITIONS?

If yes, what health conditions?

Occupation

Age

Height in Inches

Starting Weight

Desire Goal Weight

What is your goal during this program?

Please be specific IE: Weight loss, lean out, build muscle

Do you have any dietary restrictions?

If yes, what dietary restrictions?

Are you on any medications?

If yes, what medications?

Are you breastfeeding?

If you are a woman

When is your menstrual cycle? (if applicable)

A list of foods you like

Which Monday you would like to start on

How many calories are you currently consuming?

Ok to put idk (I don't know)

How did you hear about TinaBFit?

If referred by someone, who? Let's make sure they get their credit!

My biggest hurdle during this training might be?

ADDITIONAL INFO

List any information you think will help me create the best experience for you.

What do you hope to take away from this program?

WHAT IS YOUR EXPERIENCE LEVEL IN THE GYM?

List any questions/comments you might have

Consent to tag you on my social media account?

Do I have your consent to tag you on my social media account?

A list of foods that you dislike?

Foods you tend to binge on

Gym Memberships

or if you have a home gym please let me know what equipment you have