How did you hear about my boot camp?
When would you like to start? Camps can be prorated if necessary.
Name and number of physician
Do you know of any other reason why you should not engage in physical activity? If so, please let me know here.
Do you have any physical limitations that would limit your ability to exercise? If so,what are they?
List dates, reasons, and outcomes of any surgeries, abnormal test results, and hospitalizations which you might believe would relate to boot camp training.
Your digital signature and date
On a scale of 0-10, how important is making this change to you?
On a scale of 0-10, how confident are you that you can make this change?
What type of physical activity are you currently doing?
What supplements are you currently taking? Vitamins, protein powder, etc.?
What do you like to do for fun?
What are your fears or worries about training/boot camp?