Move With Christina

Online Coaching Intake Form

I'm so excited you're here. Let me learn a little about you so I can build something that actually fits YOUR life. 🤍

1
2
3
About You Your Health Your Goals

Let's start with the basics.

Text Message
Email
Both
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
6am – 10am
10am – 1pm
1pm – 4pm
4pm – 7pm
7pm – 9pm

Tell me about your body and your setup.

Yes
No
Apartment gym
Full commercial gym
Home — with equipment
Home — no equipment
Dumbbells
Resistance bands
Kettlebells
Barbell & plates
Bench
Cable machine
Cardio machine
Mat only
Full gym access
No equipment

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
Gain strength
Improve injuries
Eat better
Create a lifestyle change
Feel more confident in my body
Improve energy & stamina
Build a consistent routine
1
2
3
4
5
6
7
8
9
10
🤍

Thank you so much.

I've received your form and I'll review everything before we connect. I'm so excited to build something just for you.

— Christina