Consultation Form

Congrats! I'm so excited that you've taken the first step to creating your best self! The fact that you are here means that you ready to start making some changes to your health, confidence, and lifestyle with the help of a certified coach! Please fill out this form as much detail as possible. I want to learn more about you and your fitness goals to be able to create the best program tailored to you.

Social Media

First Name

Last Name

Message

Phone

What is Your Age?

What is your main health and fitness goals right now? *

How would you classify your current fitness Level? *

Beginner - Not much experience. Need guidance with nutrition and how to properly perform exercises.

Intermediate - I workout a few times a week and know a little about nutrition & form. More guidance

Advanced- I Workout 3-5 days a week. Comfortable with nutrition & form. Need an extra motivation

Have you worked with a personal trainer or joined a structured program before?

Yes

Do you have any current or past injuries or physical limitations I should be aware of?

How would you rate your nutrition habits on a scale of 1–10?

Do you have a support system at home or work that encourages your health goals?

Yes

What would success in this program look like for you in 3–6 months?

Are you financially ready to commit to our fitness training programs and associated cost?

Yes

Please Choose a Service you are interested in* * Required

Small Group Training

Monthly Recipes

Athletic Training

Mentorship Program

Thanks for submitting!

Stews Performance

619-638-4741

Stewsperformance@gmail.com

1145 Highland Ave, National City, CA 91950, USA

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