Kayla Johnson Fitness

90 Day Program Intake Form

Please fill out the form below prior to our first call together!

Name

Phone Number

HEIGHT, CURRENT APPROX WEIGHT, AGE?

CURRENT WORKOUT REGIMEN

CURRENT EATING HABITS

Any past/current medical conditions, injuries, limitations, or other that I should be aware of?

Have you or do you suffer from any eating disorders?

Are you currently taking any weight-loss medications such as Semaglutide, Ozempic, Wegovy, Mounjaro, etc?

What is your "why" for signing up for this program?

What are your 30, 60, 90 day, and 6 month goals?

Do you know your enneagram type. If yes, what number are you?