1. Your contact information

First and last name *

Email address *

Phone number *

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2. How would you prefer I contact you? *

Text

Email

Phone call

3. Are you able to attend in-person training in Cedar City, Utah? *

Yes

I’m not sure yet

No—I’m looking for online training

4. Do you currently have a Retro Fitness membership? *

Yes

No

Training with Coach Ali takes place at Retro Fitness and requires your own Retro Fitness membership (a monthly cost paid to the gym), plus personal training, a separate cost also paid to Retro Fitness.

Are you open to getting a membership to train with Coach Ali?

Yes

I’d like more information first

No

5. What would you most like help with?

Building strength and lean muscle

Improving endurance and energy

Working toward fat-loss goals

Feeling more confident in the gym

Building a consistent fitness routine

Finding an approach that fits my life

I’d like help deciding

Select all that apply.

6. What would meaningful progress look like for you over the next 3–6 months?

Think about how you want to feel, what you want to do, or a goal you’d love to accomplish.

7. How would you describe your current exercise routine?

I’m getting started or returning after a break

I exercise occasionally

I exercise regularly but want more guidance

I follow a routine and want help progressing

8. Have you worked with a personal trainer before?

Yes

No

What was your experience? What worked well, and what would you like to be different this time?

9. What has made it difficult to reach your goals? Select all that apply.

Something else:

10. What kind of support would help you most?

11. What could training realistically look like in your week?

Days and general times that usually work:

How many coached sessions per week could you realistically make room for?

1

2

3 or more

I’d like to discuss this

12. How long are you looking for coaching and accountability?

3 months

6 months

12 months

I’m not sure—I’d like help choosing

13. When would you like to get started?

As soon as we find a good fit

Within the next month

Within the next 2–3 months

I’m exploring my options

14. Is there anything else you’d like me to know or ask about on our call?

Optional. Please save detailed medical information for our private intake process.