Intake form

Name *

Email address *

What is your fitness goal?

Please select at least one option.

Weight loss

Muscle gain

Improving endurance

General fitness

Flexibility

Sports-specific training

What is your current fitness level?

How often do you currently exercise?

What type of coaching are you interested in?

Please select at least one option.

Online courses

Personal coaching at Basic Fit MACHELEN

Group classes

Do you have any specific preferences for your coaching sessions?

What is your preferred time for coaching sessions?

Do you have any medical conditions or injuries we should be aware of?

Which service or services are you interested in?

Please select at least one option.

Online courses

Service title 7

Service title 8

Additional questions or comments

Mirofit