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Meet Patrice
Work With Me
Join The Club
One-on-One Personal Training
Online Group Bootcamp
Custom Meal Plans
Corporate Packages
Speaking
Blog
Contact
More
Sign Up for Bootcamp
Sign Up for Personal Training
Sign Up for Corporate Program
Make a Payment
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Which program are you interested in?
Dynamic Lifestyle - The Club Membership
Personal training (group)
Personal training (one-on-one)
21 Day Program
Meal planning
Not sure
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Date of Birth
Sex
Male
Female
Full Name of Emergency Contact
Relationship
Phone Number - Emergency Contact
Email - Emergency Contact
Instagram Handle
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Current Weight (in lbs)
Goal Weight (in lbs)
What is your fitness goal?
How many meals do you consume daily?
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1-3 meals
3-4 meals
4-6 meals
How many times do you consume alcohol per week?
Choose one...
I don't drink
Less than once per week
1-3 times per week
3-4 times per week
4-6 times per week
Do you meal prep? If yes, how often?
What are your favourite breakfast items?
What are your favourite lunch items?
What are your favourite dinner items?
What are your favourite snack items?
How many times per week do you eat out?
Choose one...
No meals or rarely
1-2 meals
3-5 meals
At least one meal per day
Most meals
What foods do you dislike or are you allergic to?
Do you have any existing medical conditions? If so, what are they?
Are you currently a member of a gym? If no, is it your intention to join any soon?
Do you like doing home workouts?
Yes, I prefer them
No, I prefer the gym
I like a balance of both
Do you own any home workout equipment? If yes, please list them.
How often per week are you willing to workout?
How did you hear about us?
Terms
I understand that it is my responsibility to consult with a physician prior to my participation in any exercise or form of physical activity and confirm that I am medically fit and in good enough health to participate in any training sessions done by The Dynamic Lifestyle Training Studio team.
Due to the nature of our products and services, we do not offer refunds. However, in extenuating circumstances, a refund may be offered at our discretion. If you are not satisfied with the product that you have purchased from us or you would like to make any changes, we encourage our customers to contact us at info@patricejwhite.com.
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