Client Intake form

Schedule an Assessment

Please fill out the form below to help us get to know how we can best support you in your fitness journey. Regardless of your fitness level, I address your needs with an individual fitness assessment. Once we have your starting point, I can tailor my services to bring you closer to where you desire to be.

Full Name

Email Address

Phone Number

What is your date of birth?

What is your support system like?

If you'd tried a specific diet in the past: What was it, what did you enjoy about it, and what did you NOT enjoy about it?

Are you currently taking any prescription medications?

What is your primary goal? In other words, if we could only help you do ONE thing, what would that be?

How can we help? How do you think your coach can best help you?

Please describe your average weekend, from morning to night.

Tell Us About Yourself. The information that you share will help us design a program tailored to you and ultimately help you get from where you are now to where you want to go. Don't worry. We take your privacy very seriously. The information that you share is confidential and protected securely in our system.

Your Lifestyle. Please tell us a little more about your lifestyle. The information you share will help give us a better idea of why you may be struggling to reach your goals - and ultimately help us prepare a plan that will change that.

Please explain any injury, movement limitation or pain that you are experiencing.

Do your friends and family know that you've signed up for coaching?

What's GOOD about your current eating routine? In other words: what areas do you think you're doing well?

On average, how many alcoholic drinks do you consume in a week?

On average, how many hours of sleep do you get in a night?

Have you been diagnosed (currently or in the past) with any significant medical condition(s)?

Please describe your average weekday, from morning to night.

If there is any other information that you would like to share that you think might be relevant or important, please share it below.

Our Programs

Damien has been a certified coach for 14 years and has assisted 100+ individuals reach their fitness potential. He also has experience running small group classes at Synergy Kettlebell, Title Boxing, UFC Gym and Pure Motion Fitness.

Individual Training

$80 in person
$100 online program
$200 online coaching + program

All programs are designed specifically for you with your goal in mind.

Benefits:
+ Structured programming
+ Mental/physical wellness
+ Longevity

Semi-Private Training

2 – 5 people
$35 per person

Individualize attention and guidance from a coach that is shared among the group.

Benefits
+ Tailored to your fitness level
+ Individualized 1-1 session
+ Affordability

Small Group

6 – 15 people
$120 total

Structured and challenging program design that deliver results.

Benefits
+ Accountability
+ Motivation and support
+ Calculated achievement

*contact for private event details*

Book An Assessment