Impact Fitness Oakland: Complimentary Session and Consultation!
The information gathered here will provide me with a better understanding as to how I can BEST help you to achieve your goals.

Step 2 - New Intake Form

First Name

Last Name

Phone/Mobile

On a scale of 1-5, how serious are you about achieving your health and fitness goals?

Choose 1 category that best fits your specific health/fitness goals.

What hours are you likely available to train with us?

Do you have any injuries, illnesses or medications that may limit exercise or range of motion?

Realistically, how many days a week can you exercise with a trainer and on your own?

Which training service are you most interested in?

One-On-One : 30 minutes

One-On-One : 60 minutes

Partner Training (Training with a friend, or someone close)

Small Group Fitness (Set schedule with a group 1-12 people per class)

Not sure what's the right for me yet!

Other

What is the best way for us to communicate with you? (email, text, phone call)

Text

Phone call

Any

Which pronoun do you prefer to identify as?

he/him/his

she/her/hers

they/them/their

Other

How did you find us?

Yelp

Google

Social Media : Instagram, TikTok

Friends, Family, Others

Mindbody

Flyers

Other

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Impact Fitness Oakland: Complimentary Session and Consultation!The information gathered here will provide me with a better understanding as to how I can BEST help you to achieve your goals.