Fitness Client Registration Form

Welcome to Bayanihan Fitness

"bye-yah-knee-hahn"

the Filipino Tagalog word

"to unite in cooperation to achieve a common purpose"

Full Name *

Phone *

Email *

Date of birth *

Enter your Instagram Handle *

Before booking your call answer the following questions and enter contact information. The purpose is to lightly touch base on your goals to help me understand how my expertise will come into play.

What is your number 1 goal? *

Lose 5-25lbs+ of Fat

Build 5-15lbs of Muscle

Neither of the above - Just wanting to get into the gym to take care of my overall health

Describe your goal in as much detail possible *

Which of the following best describes your commitment level to achieving your Health & Fitness Goals?

1. I'm fully committed and will do whatever it takes

2. I want change, but I'm okay if things stay the same for a while

I need most help with *

Learning How to Workout

Learning How to Meal Prep

Keeping Myself Accountable to Follow Through with My Goals

Do you need your spouse or a significant individual's input to decide on a Yes or No answer to financially invest in starting my Fitness Coaching Program? *

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