Intake form

Name *

Email address *

What is your age range?

What are your primary fitness goals?

Please select at least one option.

Weight Loss

Muscle Building

Toning

Flexibility

Balance

Have you participated in any fitness programs before?

What types of exercises do you prefer?

Please select at least one option.

Tai Chi

Yoga

Strength Training

Cardio

Pilates

Do you have any existing health conditions?

Please select at least one option.

Heart Disease

Diabetes

Arthritis

High Blood Pressure

None

How many days per week can you commit to exercise?

What is your preferred meal plan type?

Please select at least one option.

Vegetarian

Vegan

Paleo

Low-Carb

Balanced

How did you hear about fit50 wellness app?

Which service or services are you interested in?

Please select at least one option.

Gentle workout routines

Mindful movement practices

Daily meal planning

Additional questions or comments

Fit50 Wellness App