Sam Pausha Coaching

Ready to Take Charge?

Complete our new client form and I'll reach out within a few days to discuss your personalized fitness plan!

Name

Phone

What are you training for?

How many days a week do you exercise currently?

How many days a week do you want to exercise during the plan?

How would you describe your fitness level on a scale of 1-5?

What is your favorite type of exercise?

What type of exercise do you do most often?

Have you had any injuries, or do you have any injuries?

Please describe your injury

What are your goals? (Is there a specific race you are training for, etc.?)

What are your goals working with a coach?

@sampaushacoaching

Sam Pausha Coaching

Minneapolis, MN

(414) 704 - 6230

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