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Online Personalized Workout Program
Workout Application
Cort's Fit Mamas
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LET ME HELP YOU LIVE BALANCED
Project You: Monthly Subscription
Online Personalized Workout Program
Workout Application
Cort's Fit Mamas
Online Nutrition
In Person/Zoom Training
Testimonials
Contact Me
Registration
pERSONAL WORKOUT PROGRAM APPLICATION
fILL OUT THE APPLICATION BELOW TO APPLY FOR A PERSONALIZED WORKOUT PRogRAM. oNCE SUBMITTED i WILL BE REACHING OUT, IF ACCEPTED, TO COVER ALL DETAILS OF PROGRAM VIA CALL.
Name
*
First Name
Last Name
Email
*
Phone
(###)
###
####
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Height
*
Weight
*
Age
*
Activity Level
*
0 days per week
2-3 days per week
4-5 days per week
6-7 days per week
Training Age
*
How many months or years have you been working out?
Specific Goals
*
Workout, Nutrition & Lifestyle
Previous Injuries or Restrictions
*
General Health Status
*
Sleep Status
*
On average how many hours of sleep do you get a night?
Nutrition Level
*
Describe the best you can. Do you track. What struggles do you have. Etc.
Days per Week Planning to Train
*
3 days
4 days
5 days
Workout Setting
*
Home
Gym
Both
If you could choose 1 thing to gain from the program what would it be?
*
Investment for custom coaching starts a couple hundred a month, are you ready to start investing in yourself?
Programs begin around $250 to $300 per month. What is realistic for your budget.
Hell yes, I'll even pay in full to get the 15% discount
Yes, but need a custom payment plan
no, i am not ready to invest in myself right now
Thank you!
