Name

First Name

Last Name

Age

Gender

Height

Weight

Fitness background

DESCRIBE YOUR FITNESS BACKGROUND AND ANY INJURIES YOU HAVE

Nutrition information

WHAT EXPERIENCE DO YOU HAVE COUNTING MACRONUTRIENTS AND TRACKING CALORIES AND WHAT DOES YOUR DIET LOOK LIKE NOW (PLEASE INCLUDE ANY FOOD INTOLERANCES)

Strength training experience

PLEASE DESCRIBE YOUR EXPERIENCE WITH STRENGTH TRAINING AND HOW CONFIDENT YOU ARE WITH COMPOUND LIFTS (SQUATS, DEADLIFTS, BENCH PRESS, PRESSES, ROWS ETC)

Personal goals

PLEASE DESCRIBE YOUR PERSONAL GOALS AND THE INSPIRATION FOR STARTING YOUR FITNESS JOURNEY

Challenges

WHAT DO YOU THINK IS YOUR BIGGEST CHALLENGE WHEN PURSUING A HEALTHY LIFESTYLE

Program options

WHICH FITNESS JOURNEY ARE YOU INTERESTED IN?

How did you hear about Allira Case Fitness?

WHETHER YOU ARE DOING AN ONLINE PROGRAM OR TRAINING 1 ON 1, THIS IS A RELATIONSHIP WITH BOTH PARTIES WORKING TOWARDS THE SAME GOAL OF CLIENT SUCCESS AND ACHIEVING YOUR GOALS. ALLIRA CASE FITNESS IS FOR PEOPLE DEDICATED AND COMMITTED TO PERMANENT CHANGE IN THEIR LIVES. IT'S NOT GOING TO BE EASY BUT IT WILL BE LIFE CHANGING. CLIENTS NEED TO BE CONSISTENT AND WILLING TO BE COACHABLE AND TRUST THE PROCESS. IF YOU ARE SERIOUS AND DEDICATED TO CHANGING YOUR LIFE THEN TYPE LETS DO THIS, HIT THAT SUBMIT BUTTON AND LETS GO!!!

BY USING THIS FORM YOU AGREE WITH THE STORAGE AND HANDLING OF YOUR DATA BY THIS WEBSITE