Name *

First Name

Last Name

Phone *

(###)

###

####

Time of day preference *

Check all that apply

5-6AM

6-7AM

7-7:45AM

9:30-10:30AM

4:15-5:15PM

5:15-6:15PM

6:15-7:15PM

7:15-8:15PM

Time not listed

How did you hear about us? *

I go to Johnson Coffee House

I go to Salon LC

Google search

Driving by

Someone referred me!

Social media

Mindbody

Other

What has deterred you from reaching your goal in the past? *

Lack of clear set attainable goals

Lack of knowledge about what I need to be doing

Lack of support system

Lack of time

Lack of finances

I haven't had trouble hitting my goals in the past

What has been your experience with fitness so far?

I've worked out at a boutique fitness studio before

I've worked out at a corporate gym before (LA, Planet Fitness, Crunch, Retro, etc.)

I've had a personal trainer in the past

I've never participated in any of the above

I used to play sports

What types of fitness are you currently interested in?

Strength training

Kickboxing

Aerial

Yoga

HIIT

Barre

Spin

Dance

Tabata

I'm not sure