Share Your Goals

I would LOVE to Hear Your Fitness Story :) Please Share What You Have Been Working On and Trying to Achieve

First name*

Last name*

Email*

Phone

Birthday*

Month

Day

Year

What Are Your Fitness Goals*

Fat Loss

Muscle Gain

Strength Gain

Cardiovascular Fitness

Aesthetic Goals

Pre-Post Natal

Injury Prevention

Injury Recovery/Rehab

Performance Goals

Why Do You Want To Achieve These Goals?*

Have You Tried Achieving These Goals?*

Yes

No

How Long Have You Been Trying?

What is Stopping You (Hurdles)?*

How Important Are These Goals?*

Have you Worked With Kettlebells Before?*

Yes

No

How Would You Rate Your Comfort Level With Them?*

Do You Have Any Past or Current Injuries?

Yes

No

If Yes, Please List Them.

Do You Have Any Medical Problems?*

Yes

No

If Yes, Please List Them

Are You Cleared To Exercise From Your Doctor?*

Yes

No

How Do You Want To Train*

1-Week Free Beginner Kettlebell and Mobility Program

Train With You!

Custom Made Program Just For Me

Yes, subscribe me to your newsletter.

Signature*

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

bottom of page