HOME
About Us
BEAUTY
Salon Services
Organic Services
WELLNESS
Fitness
Nutrition
Dance
Trapt
Trapt Audition - August
SHOP
Log In
INTAKE FORM
Answer a few quick questions and we can absolutely help you start your journey to feeling great with options that are tailored to you.
First Name
Last Name
Phone
Email
Age
0 - 18
19 - 29
30 - 49
50 - 69
70+
How active are you currently during the week (outside your employment)?
1 to 2 times per week
3 to 4 times per week
5+ times a week
How do you prefer to workout?
On your own
In a small group
In a large group
I am not sure as it’s been awhile since my body has moved
What are your fitness goals? Check all that apply.
Development of muscles
Reducing stress
Losing body fat
Increasing motivation
Working out and healthier eating
Training for an event/specific sport
Other Fitness Goals
Best days and times you can exercise? Check all that apply.
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Early morning
Morning
Early afternoon
Afternoon
Evenings
By filling out this form there is no requirement to proceed once options are presented.
Submit