FitKatFitness Client Interest Form

1.What is your email?(Required.)
2.First and last name?(Required.)
3.Date of birth:(Required.)
4.Phone Number(Required.)
5.What is your current activity level during your day to day life? Work, errands, routine etc. (Not including gym/training activity)(Required.)
6.How many days a week do perform any strength training exercise and/or cardio?(Required.)
7.What are your current fitness goals exactly?
Example: I want to lose body fat, build lean muscle and strengthen and tone certain areas!
(Required.)
8.Up until now what has stood in the way of you reaching your current health and fitness goals?

(Example: no motivation, lack of knowledge in a gym setting, busy schedule, unhealthy relationship with food.)
(Required.)
9.Have you previously worked with a fitness professional before? If so, how was that experience for you?(Required.)
10.Do you have any previous injuries or limitations that I should be aware of?(Required.)