Attack Strength Application Name * First Name Last Name Phone Number * (###) ### #### Email * Date of Birth * MM DD YYYY Gender * Male Female Other Who is your favorite superhero? * Where are you from? Have you ever had an online coach before? * Yes No Do you have access to a gym or do you prefer at home workouts? * I have a gym I workout from home I can do both Do you have any injuries or medical conditions (new or old)? * Are you currently taking any prescription medication? * Briefly describe your current fitness goals * On a scale of 1 to 10, 1 being "I'm ok with sitting on the couch eating cheetos all day" and 10 being "I'll eat blended chicken livers and pixie dust for every meal if I have to", how motivated are you? * 1 cheetos 2 3 4 5 6 7 8 9 10 Pixie dust Are you ready to jump head first into this program? I mean 100% ready to attack your fitness like never before? * I'M SO READY!! nah, I'm happy being weak for the rest of my life. Thank you! You will receive an email to schedule your free consultation within 24 hours.