Welcome Form



You have just taken the first step on your journey to claim Your Fit and Healthy Body. It all starts with a decision, then taking action on that decision and YOU DID IT! I am so proud of you for calling, emailing, or signing up!

Another way I want to encourage you to TAKE ACTION is do these steps below, immediately! Please answer these questions in detail before our appointment. We WILL get you results, it’s what we do!

A Few Details:

  • Make sure you add my email summer@summersfitness.com to your address book so it doesn’t get blocked.
  • If you are not going to take the time to answer the questions right now, please MAKE SURE you do it before your appointment.
  • Many of you will give lengthy answers so when you are done with each question, highlight it, right click it and copy it, then paste it into a word document or email so you can save it for you to read later. Also, you must click the “Submit” button at the bottom of this when you are done with all the questions or it will NOT be submitted. If you don’t have a few minutes now, then please come back to this before our appointment, BUT it would be better for you to do it now. Keep in mind…most of our clients come to us for weight loss so some of these questions will apply to you and some won’t.

Begin the adventure to Achieve Your Personal Best! ®

Please answer all questions accurately and honestly to allow us to fully determine your individual needs. All information is confidential. If you are unsure, we can go over it during your appointment.

Step 1 of 4

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  • Please enter a number from 10 to 99.
  • Please enter a number from 1 to 400.