Move With Christina

Client Intake Form

Tell me a little about yourself so I can get an idea of what you're looking for. 🤍

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About You Your Body Your Goals

Let's start with the basics.

2 days
3 days
4 days
5+ days
Early Morning (6–8am)
Late Morning (8–11am)
Afternoon (12–4pm)
Evening (4–8pm)

Tell me about your body.

Yes
No
Apartment gym
In-home gym

(A scale that measures body composition — body fat %, muscle mass, etc. Examples: Withings, Renpho, Garmin, Fitbit Aria, Eufy)

Yes
No

Please enter your most recent smart scale results:

Now let's talk about what you really want.

I'm currently active
A few months
1–2 years
3+ years
Never really started
Lose weight
Build strength
Feel better in my body
More energy for myself & loved ones
Improve injuries
Eat better
Create a lifestyle change
Feel more confident
Build a consistent routine
Recover from injury
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Thank you so much.

I've received your form and I'll review everything before our first session. I genuinely can't wait to get started with you.

— Christina

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