Mindful Haven

Personal Training Contact Form

Ready to transform your fitness journey with Mindful Haven's personal training services? Fill out the contact form below to get started. Provide your name, email, and a brief message about your fitness goals or any questions you have. Kira will tailor a program to meet your unique needs, whether you prefer in-person or online training.

We look forward to helping you achieve your health and fitness goals!

First name*

Last name*

Email*

Phone

What program are you interested in?*

Are you interested in in person or online training?*

In Person

Online

What is your motivation to change?*

What are your goals?*

Any injuries, medication or diagnosis I should know about?*

Are there any roadblocks that would prevent you from achieving your goals?*

On a scale from 1-10, what is your willingness to get uncomfortable, and step outside of your comfort zone? 1 being not willing at all, and 10 being willing.

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2

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10

What days and times are you planning to workout?*