INTAKE FORM | eqfitnessonline

Are you willing to do your bet to follow through with the goals set each week by you and Mandy?

Yes

No

Are you willing to chek in each week with Mandy?

Yes

No

What is your current fitness level?

Beginner

Intermediate

Advanced

On a scale of 1-6 (1 being little consistncy and 6 being extremely consistent), how would you rate your level of fitness consistency?

Where will you be exercising?

Gym

Home

Home and Gym

How ready are you to start this program and feel better?

A Little Bit

Somewhat Ready

Ready

SOOOO Ready!!!

fitness