Work With Me Application
First Name
Last Name
Email
Phone/Mobile
How did you hear about JR Training Systems?
Google
Craigslist
Referral
Social media
Other
If other, please specify
Tell me about yourself
How much experience do you have with strength training?
No experience
1-2 years
3-4 years
5+ years
What would you specifically like to accomplish by working with me? Please provide as much detail as you would like.
On a scale from 1-10 how serious are you about accomplishing your goals? (10 being you are ready to start as soon as possible)
1
2
3
4
5
6
7
8
9
10
Are you ready to dedicate 2-5 hours of training per week?
Yes
No
Are you ready to commit to at least 6 months of private coaching? (Private Training Clients Only)
Yes
No
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