Welcome to SteveBallardFitness.com
Coaching Application Form
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What is your first name?

 
And your last name?

 
What's your gender?


 
How old are you?

 
What city do you live in?

 
What do you currently weigh (in pounds)?

 
How tall are you (in feet and inches)

 
Can you briefly describe your short-term goals

 
In 1 or 2 sentences, describe your LONG-TERM goals

 
In terms of fitness, what is your biggest struggle that you think I can help you with?

 
Have you ever had a trainer before?

     
 
Are you willing to spend $200-$500 per month on yourself to achieve your goals?

I offer different packages depending on your wants, needs, and budget. We will discuss which package is best for you after we get to know each other a little bit.

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