Apply - Fernandes Fitness

First Name *

Last Name *

Date of Birth *

Phone *

Email Address *

Height *

Weight *In pounds (lbs)

What are your health and fitness goals? *

Why are these goals important to you and your health? *

What is your time frame for reaching these goals, and why? *

What challenges and/or struggles have you experienced in the past while attempting to reach these goals? *

What have been the biggest fears holding you back? *

Why is now the right time for you to pursue improving your health and fitness? *

How would you describe your current level of commitment toward pursuing your fitness goals and achieving the results you want? *

Are you ready to invest in your health, both financially and through hard work? *

Will someone else (spouse, other family member etc.) be involved in making decisions? *

Please fill out the form below and we will be in touch.