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emberstrengthsystems@gmail.com
Inquiry form
Help Me Serve You Better
Name
*
Email address
*
Instagram Handle
Gender
*
Select
Male
Female
Other
Age
*
What is your current strength training experience?
*
Please select at least one option.
Beginner
Intermediate
Advanced
Weight Class (in KG)
*
Height
*
What are your primary goals in strength training?
*
How many days per week do you currently train?
*
Select
1
2
3
4
5
6
7
What does your current weekly training look like? (Be as specific as possible.)
*
How many days can you workout a week?
*
Select
1
2
3
4
5
6
7
Any injuries I should know about?
What type of equipment do you have access to?
*
Please select at least one option.
Power Bar
Power Rack
Bench Rack
Squat Rack
Safety Squat Bar
Belt Squat
Incline Bench
Dumbbells
Cable Rows
Leg Extension Machine
Hamstring Curl Machine
Lat Pulldown
Do you have an upcoming meet? If so, when?
Have you ever worked with a coach before?
*
Select
Yes
No
Which service are you interested in?
*
1-on-1 Personalized Coaching ($120/4 Weeks)
Monthly Programming Only ($70/4 Weeks)
Additional questions or comments
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