Custom Workout Program

Want a workout program that fit your needs and wants on your timetable, whether at home or at the gym? Fill out this form, and I will personally reach out to you to see what the options are, and create a program that would best help you optimize your health and fitness 👇

Full Name *

Email *

Phone *

Goals and motivation

What are you health/fitness goals? *

Program Details

What length of workout program would best suit you? *

6 week

12 week

How long could you exercise/workout for (in minutes) in one day realistically? *

Where will you be working out? *

Gym

Home

Which gym?

What gym are you going to attend? *

Equipment

If at home, what equipment do you have, or could you get? *

Injuries

Do you have any injuries currently? *

Yes

What injury are you currently dealing with? *

Health Conditions

Do you have any health conditions or situations that could restrict your abilities? (Example: Pregnant, High Blood Pressure, Athsma, etc) *

Yes

What health condition or restrictions are you dealing with? *

Terms and Conditions / Liability Disclaimer

I acknowledge that the product I will receive is copyright of PHAST Fitness & made for me only, and therefore I agree that I will NOT resell or give the product to others.

I agree

I disagree

Liability disclaimer: I fully acknowledge that I will be getting and performing the suggested workouts at my own risk, and therefore release Brian Klassen (aka PHAST Fitness) from any liability. *

I agree

I disagree

(compliance to the statements above are mandatory if you want me to build you a custom program --- if you click "I disagree" on either of the statements above, your application will be automatically disqualified once you submit this form and you will have to start from scratch if you change your mind)

Thanks for your interest in a Custom Workout Program!

Hit "Submit" to finalize your submission and I will contact you shortly to go over the details :)