Client Information Form — Ani Boyd Sessions

Please complete in order to confirm your participation with Ani Boyd Sessions. All information you share is completely confidential. This information is used to further customize your training program. Please provide as much detail as possible.

NOTE: This form does NOT need to be completed to participate in the 12 Days of Christmas promotion.

Name

First Name

Last Name

Date of Birth

Email Address

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Are you a smoker?

What are your short and long term goals? (lose body fat, tone, gain muscle mass, sport/race, etc.)

What have been the biggest obstacles you have encountered reaching your goals?

How often do you exercise?

What types of exercise do you primarily do?

How would you rate your nutrition on a scale of 1 (low) to 10 (high)?

Do you have any medical conditions or injuries? If yes, please explain.

How many times a day do you eat?

Waiver

I've submitted waiver online

I will sign waiver on site

For more information

email: ani@aniboydsessions.com
phone: 423-677-3595

For more information

email: ani@aniboydsessions.comphone: 423-677-3595

email: ani@aniboydsessions.com
phone: 423-677-3595