Intake form

Name *

Email address *

What are your fitness goals?

Please select at least one option.

Weight loss

Muscle gain

Increase endurance

Improve flexibility

Enhance overall fitness

What is your current fitness level?

Do you have any dietary restrictions?

Please select at least one option.

None

Vegetarian

Vegan

Gluten-free

Dairy-free

Nut-free

How many days per week do you plan to work out?

What type of workouts do you prefer?

Please select at least one option.

Cardio

Strength training

Yoga

Pilates

High-Intensity Interval Training (HIIT)

Outdoor activities

What equipment do you have access to?

Please select at least one option.

Dumbbells

Resistance bands

Barbell

Kettlebells

Exercise bike

Treadmill

None

How long do you typically spend working out each session?

What is your age range?

Do you have any prior injuries or health conditions?

Additional questions or comments

Fitness with Mo