Your Name
Email Address
Your Age
Your Height
How Did You Hear About Get Shred? Instagram? Facebook? Emails?
Your Medical & Injury History If Applicable
Current Body Weight
Current Day To Day Activity Levels
Current Exercise Routine
Do You Have A Gym Membership? YesNo
If you don't have a gym membership, do you have any equipment at home?
Tell Me A Little Bit About Your Exercise History
Tell Me A Little Bit About Your Dieting History
What Is Your Main Goal For The 6 Week Program?
How Are You Feeling About Taking Part In This 6 Week Program?
Thank you for completing your intake form. If you don't hear a response back from us that means you're good to go and we don't need any more information. You'll hear from me (Angi) very soon with more updates!
Angi & Jake x
