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Pierrotti’s Personal Training
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Intake form
Help us serve you better
Name
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Email address
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What are your fitness goals?
Please select at least one option.
Building muscle
Burning fat
Improving endurance
Enhancing flexibility
Boosting overall health
What is your current fitness level?
Select
Beginner
Intermediate
Advanced
Do you have any dietary restrictions or preferences?
Please select at least one option.
Vegetarian
Vegan
Gluten-free
Dairy-free
No restrictions
What type of exercise do you prefer?
Please select at least one option.
Weight training
Cardio
Yoga
Pilates
High-intensity interval training (HIIT)
How many days a week can you commit to working out?
Select
1-2 days
3-4 days
5-6 days
Every day
What equipment do you have access to?
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Dumbbells
Barbell
Resistance bands
Exercise bike
Treadmill
None
What is your age range?
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Under 18
18-24
25-34
35-44
45-54
55 and above
How did you hear about us?
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Social media
Word of mouth
Online search
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Which service or services are you interested in?
Please select at least one option.
Customized workout plans
Macro-based meal plans
Weekly check-ins
Additional questions or comments
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