Application form | PowerBuildFitness

Name *

Email address *

Phone number *

Occupation *

What are your primary fitness goals?(Select all that apply) *

Weight loss
Muscle gain
Mental clarity
Genral health and wellness
Other

On a scale of 1-10, how would you rate your current level of fitness? (1 = beginner, 10 = advanced) *

How many days a week are you able to commit to working out? *

1-2 days
3-4 days
5-6 days
None

Are you currently following a specific diet or meal plan? *

Yes
No

Do you have any medical conditions or injuries PBF should be aware of? *

How did you hear about PBF *

Social media
Family/Friend Referral
Google search
Other

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