Fitness Program Application Name * First Name Last Name Email * Phone * (###) ### #### Q1: What are you looking to get out of my training or coaching you? * Q2: What do you currently do as a fitness regimen? * Nothing Running Walking Pilates Yoga Other Q3: How long have you gone without working out and why? * Q4: Which are the toughest challenges you tend to encounter? (pick all that apply) * Diet Cardio Strength Training Athletic Goals Discipline Motivation Consistency Pronouns Thank you! Boxing Program Application Name * First Name Last Name Email * Phone * (###) ### #### Q1: Are you seeking to learn how to box or are you looking for a hard workout? * Q2: Do you have any experience in boxing, MMA or martial arts? * Q3: Have you had the need to physically defend yourself but didn't have the skills to do so? * Q4: Are you able to commit to learning boxing and/or work out via boxing for a minimum of 3 to 6 months? * Pronouns Thank you!