Intake form

Name *

Email address *

What is your primary fitness goal?

Please select at least one option.

Weight Loss

Strength Building

Increased Endurance

Improved Mobility

General Fitness

How many days per week do you currently exercise?

What type of workouts do you prefer?

Please select at least one option.

Cardio

Strength Training

Yoga

Pilates

Dance

HIIT

Functional Training

What is your preferred training format?

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

Additional questions or comments

Black Flag Fitness