Intake form

Name *

Email address *

What is your current stage of motherhood?

How did you hear about us?

Please select at least one option.

Social Media

Friend or Family

Online Search

What are your primary fitness goals?

Please select at least one option.

Increase strength

Improve flexibility

Enhance endurance

Weight loss

Posture improvement

Do you have any pre-existing medical conditions?

What type of workouts do you prefer?

Please select at least one option.

Yoga

Strength training

Cardio

Pilates

Low-impact exercises

How many days a week can you commit to exercising?

What is your preferred workout duration?

Do you have any specific areas of focus for your fitness?

Are you currently following any diet or nutrition plan?

Additional questions or comments

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