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YOGA
EVENTS
TRAINING
WHOLE FIT
NUTRITION COACHING
TEAM
NEW CLIENT SURVEY
New clients must fill this out to start the scheduling and private session process.
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Indicates required field
Name
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First
Last
Your email address:
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Phone Number:
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What private service are you interested in?
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Private Yoga
Private Training
Dual Training
Small Group Training
Please note that if you're interested in Dual or Small Group Training, we do NOT assign you to a group, you must join with an interested partner or small group.
What time of day would you like to meet for your sessions? (You can be more specific below.)
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6:00 a.m.-8:30 a.m.
8:30 a.m.-11:30 a.m.
11:30 a.m.-2:30 p.m.
2:30 p.m.-5:30 p.m.
5:30 p.m.-8:30 p.m.
Please check all that apply.
How many days of the week would you like to train?
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1 time per week
2 to 3 times per week
4-5 times per week
How long would you like to train?
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45 minutes
60 minutes
What days of the week work best for you?
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Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Please check all that apply.
What is your age?
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Have you had any heart issues, recent surgeries, injuries, diabetes, dizziness, fainting, pregnancy, or other health issues that would effect your workouts?
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Yes
No
If yes, please specify:
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Is there a specific trainer you'd like to work with?
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Zac (private yoga)
Kristine (training, all day)
Sarah (training and yoga 7 am - 2 pm)
No preference
Please use this space to include your goals of working with a trainer or private yoga instructor, to be more specific about what times work best for you, or any other detailed comments or questions you may have:
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