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Programming Request Form

Complete this form to help us tailor your Fitbliss exercise program. Your answers help us meet your unique needs and goals.

First Name *

Last Name *

Email *

Coach *

Not a Fitbliss Client at this time

Carrie Hennessy

Chantel Hall

Julie Hansen

Kassie Enriquez

Katie Crawford

Lynndsey Eldridge

Megan Guzman

Natalie Suazo

Rachel Horton

Sami Clements

Zac Eldridge

Annie Kirchner

Bec Duncan

The Lifting Club

How many days per week were you consistent with your resistance training program during your last training block? *

When you consider your upcoming life schedule and obligations, how many days of lifting per week is realistic for you right now? *

About how many minutes are you able to invest in each training session? *

Where will you be training? *

At Home

In Gym

Other

Are there any skills or exercises from your previous block that you would like to keep working on in your new program?

Are there any new skills or exercises that you would like to work on in your new program?

Are there any exercises you absolutely do not want to do this block?

Are there any muscle groups that you are really trying to grow at the moment?

Have you been dealing with any aches, pains or previous injuries during or after training in your most recent training block?

What did you love most about your most recent training program? *

Is there anything specific that you do not love about your recent program? *

What style of training appeals to you most for your next training block? *

Full Body Split

Upper & Lower Split

I am not sure

I am open to anything

Other

Please leave me any additional thoughts or notes that will be help me create a program just for you!