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Era C Performance
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Intake form
Help us serve you better
Name
*
Email address
*
Age
Select
25-30
31-35
36-40
41-45
Gender
Select
Male
Female
Non-binary
Prefer not to say
What are your fitness goals?
Please select at least one option.
Increase strength
Improve endurance
Enhance flexibility
Weight loss
Build muscle
General health and wellness
Current fitness level
Select
Beginner
Intermediate
Advanced
Have you worked with a coach before?
Select
Yes
No
What type of training do you prefer?
Please select at least one option.
Weight training
Cardiovascular exercise
Yoga/Pilates
Sports-specific training
Group classes
Do you have any injuries or medical conditions we should be aware of?
How did you hear about us?
Select
Social media
Website
Referral
What is your preferred training frequency?
Select
Once a week
Twice a week
Three times a week
More than three times a week
What is your availability for training sessions?
Additional questions or comments
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