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Consultation

Arranging a personal consultation with a fitness expert is easy.

Simply complete this form so we can learn a little bit about you first.

After filling out this consultation request form you can expect to hear from us within 48 hours to schedule an appointment.

Sincerely,

Jason Fisher
Executive Fitness Consultant
KICKSTART Fitness


Arrange a Personal Consultation

[* indicates a required field]

*
Address: 
*
How often do you exercise?  
In which activities do you presently participate?

FITNESS BENEFITS
*

Lose weight Increase energy Gain weight
Firm & define Reduce stress Increase flexibility
Gain inches Maintain shape Reduce health risks
Reduce pain Increase strength Trim inches
Sport specific training I'm not sure

*

Pain or stiffness in: Back   Knees   Shoulders
Arthritis Heart disease Weight problems
Asthma Fybromyalgia Depression
Osteoporosis High/Low BP No known ailments
Other:  
Rate your nutritional habits on a
scale of 1(poor) to 5(excellent):
  

PERSONAL REVIEW
Which of the following could I do for you in order to help you achieve your goals?

Motivation Increase participation
Nutritional guidance Commit to program
Preplan workout Advance past plateaus
Increase time efficiency
Other:  

Contact Us

KICKSTART Fitness
416.812.0009
info@kickstartfitness.com

About Your Privacy
Kickstart Fitness will not share personal contact information or details provided in the online consultation form with any third parties for any purpose whatsoever. Information is used for the sole purpose of informing and arranging consultations and will not be used for unsolicited email or other communications at any time.

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