Contact

1. What made you choose today to visit Chocolate Box?*

2. Why is it important to you now?*

3. Check the kind of body and health changes you are looking to achieve (check all that apply):*

Leaner
Health and Wellness
Stronger Body
Toned Legs

De-Stress
Fat Loss
Improve Sleep
Butt, Arms, and Abs

Eat Healthier
Meet Friends
Social Outing

4. Do you have a specific training goal at the moment, or training to kick butt at life?*

5. When would you like to achieve your results by?*

6. How many times per week do you want to train?*

7. On a scale of 1 to 10, how serious are you about starting straight away? (1 = Not Serious, 10 = Very Serious)*

8. What are the 3 biggest things (if any) holding you back from achieving the goals you checked in Question 3?*

Do you have any injuries? Please specify: *

Do you have any medical conditions? Please specify: *

Name *

Email *

Phone Number*

Chocolate Box Training