Full Name
*
Email
*
What made to decide to get started today?
*
What has been your experience/relationship with fitness in the past? Has it been positive/negative? What has worked well? What hasn’t worked?
*
At KUMA, we focus on the intrinsic benefits of fitness. How would you like to feel after getting into a regular routine of movement?
*
What’s the biggest challenge that is keeping you from achieving it?
*
Please list any allergies, regular medications, relevant injuries, illnesses/medical conditions, or anything else you think we may need to know about your health. If there are none, please write "none".
*
How did you hear about us? (Check all that apply)
*
Facebook
Instagram
Email
Google
Referral
Other…
Captcha
Submit