Intake form

Om je beter te kunnen helpen en een programma op maat te maken is het van belang om goed te beschrijven wat je wensen en eventuele klachten zijn op dit moment.

First name*
Last name*
Date of birth*
Place of living*
Telephone number*
E-mailadres*
Enter Email Confirm Email
Describe your goals
Why do you think that your goal has not been achieved up until now?
Do you have injury or neck and black problems? If so, what injuries?
Do you have other complaints, such as large stomach, hormone issues, tiredness, burn-out, reuma or menopause complaints?
Are you motivated to achieve your goal? And why do you think you will achieve it?
Describe your eating patterns
How has your stress level been in the last 3 years and how is it now?
Describe what sports you have done in the last couple of years.
How did you find Iboya Training?

Intake form

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