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Everything Page (Start Here)
Vitality 1:1 Online/Hybrid Coaching Program
The Schatz Method Structural Alignment Sessions
Cart
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Home
About
About Laura
Accolades
Blog
Services
Everything Page (Start Here)
Vitality 1:1 Online/Hybrid Coaching Program
The Schatz Method Structural Alignment Sessions
Shop
Contact
Apply to Vitality Online Program:
Email
*
Name
*
First Name
Last Name
Age
Phone Number
*
What are your pronouns?
*
Thomas Fitness Consulting is committed to being an anti-racist business and I believe Black Lives Matter. Does this align with your values?
*
Yes
No
Favorite Vacation or Getaway Spot?
*
Favorite Film or TV Show?
*
Height
Weight
What is your primary fitness goal?
*
Why do you want to achieve this goal for yourself?
*
Current Fitness Level:
*
Beginner (less than a year of consistent training experience)
Intermediate (1-5 years of consistent training experience)
Advanced (5+ years of consistent training experience)
What is preventing you from reaching your goals?
*
How many days per week are you able to train? (minimum)
2
3
4
5
Do you have any injuries or health issues I should be aware of? If so, what movements do they impact?
*
Please be as detailed as possible. Also, if necessary, I will reach out via email for more information.
On a scale from 1-10, how would you rate your current sleep routine? (1 = poor, 5= decent, 10 = excellent)
*
On a scale from 1-10, how you would rate your stress levels? (1 = very high, 5= moderate, 10 = very low)
*
On a scale from 1-10, how committed are you to achieving your health and fitness goals?
Do you have access to a gym or do you prefer in-home workouts?
*
Gym
In-Home
If at home, what equipment do you have access to?
Physician's Name and Phone Number (read description)
*
* IMPORTANT: The final seven questions of your intake serve as your Physical Activity Readiness Questionnaire (PARQ). If you answer "Yes" to one or more of the following questions, consult your physician before engaging in physical activity. Tell your physician which questions you answered "Yes" to. After a medical evaluation, seek advice from your physician on what type of activity is suitable for your current condition.
Has your doctor ever said that you have a heart condition and that you should only perform physical activity recommended by a doctor?
*
Yes
No
Do you feel pain in your chest when you perform physical activity?
*
Yes
No
In the past month, have you had chest pain when you were not performing any physical activity?
*
Yes
No
Do you lose your balance because of dizziness or do you ever lose consciousness?
*
Yes
No
Is your doctor currently prescribing any medication for your blood pressure or for a heart condition?
*
Yes
No
Do you know of any other reason why you should not engage in physical activity?
*
How would you like to be contacted to discuss Vitality further?
*
I would love a call to experience how you coach and see if this makes sense.
I know I want to do this, let me sign up now!
Can we email or text/voice memo first before booking a discovery call?
Accessibility is wildly important to me, so I offer payment plans. With this said, how do you feel about investing in a program right now? Plans start at $297/month with the longest payment plan, but I will work with your budget as best we can!
*
This is going to be a stretch for me, but it's important and I'm going to make it work.
Hell Yeah! I'm all in!
Give me a payment plan and I'm ready to rock!
Do you have any other questions or comments you'd like to address before you submit?
Please Sign by Entering Your Initials Below
*
By entering your initials in the box below you are effectively providing your signature, indicating that you agree to all the information on this form, and the information you have entered is true and accurate to the best of your knowledge.
Thank you!
Please feel free to schedule a discovery call with me to ensure that we are a fit:
