{"id":105,"date":"2025-03-24T02:48:59","date_gmt":"2025-03-24T02:48:59","guid":{"rendered":"https:\/\/foreverfitandstrong.com\/?page_id=105"},"modified":"2025-03-27T20:17:15","modified_gmt":"2025-03-27T20:17:15","slug":"intake-form","status":"publish","type":"page","link":"https:\/\/foreverfitandstrong.com\/?page_id=105","title":{"rendered":"Intake Form"},"content":{"rendered":"<h1 class=\"wp-block-heading\">Intake Form<\/h1><div class=\"forminator-guttenberg\"><div class=\"forminator-ui forminator-custom-form forminator-custom-form-153 forminator-design--default  forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-153\" data-uid=\"69e21a9d1d39c\"><br\/><\/div><form\n\t\t\t\tid=\"forminator-module-153\"\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-153 forminator-design--default  forminator_ajax\"\n\t\t\t\tmethod=\"post\"\n\t\t\t\tdata-forminator-render=\"0\"\n\t\t\t\tdata-form-id=\"153\"\n\t\t\t\t\n\t\t\t\tdata-design=\"default\"\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\tdata-grid=\"open\"\n\t\t\t\t\n\t\t\t\t\n\t\t\t\tstyle=\"display: none;\"\n\t\t\t\t\n\t\t\t\tdata-uid=\"69e21a9d1d39c\"\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div class=\"forminator-row\"><div id=\"name-1\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-1_69e21a9d1d39c\" id=\"forminator-field-name-1_69e21a9d1d39c-label\" class=\"forminator-label\">Full Name <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-1\" value=\"\" placeholder=\"\" id=\"forminator-field-name-1_69e21a9d1d39c\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"email-1\" class=\"forminator-field-email forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-email-1_69e21a9d1d39c\" id=\"forminator-field-email-1_69e21a9d1d39c-label\" class=\"forminator-label\">Email Address <span class=\"forminator-required\">*<\/span><\/label><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"\" id=\"forminator-field-email-1_69e21a9d1d39c\" class=\"forminator-input forminator-email--field\" data-required=\"true\" aria-required=\"true\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-1\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-1_69e21a9d1d39c\" id=\"forminator-field-textarea-1_69e21a9d1d39c-label\" class=\"forminator-label\">Health and Fitness Goals <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-textarea-1_69e21a9d1d39c-description\" class=\"forminator-description\">Describe your main health and fitness objectives.<span data-limit=\"180\" data-type=\"characters\" data-editor=\"\">0 \/ 180<\/span><\/span><textarea name=\"textarea-1\" placeholder=\"\" id=\"forminator-field-textarea-1_69e21a9d1d39c\" class=\"forminator-textarea\" rows=\"6\" style=\"min-height:140px;\" maxlength=\"180\" aria-describedby=\"forminator-field-textarea-1_69e21a9d1d39c-description\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-2\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-2_69e21a9d1d39c\" id=\"forminator-field-textarea-2_69e21a9d1d39c-label\" class=\"forminator-label\">Current Nutrition and Exercise Routine <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-textarea-2_69e21a9d1d39c-description\" class=\"forminator-description\">Provide details about your current diet and workout habits.<span data-limit=\"180\" data-type=\"characters\" data-editor=\"\">0 \/ 180<\/span><\/span><textarea name=\"textarea-2\" placeholder=\"\" id=\"forminator-field-textarea-2_69e21a9d1d39c\" class=\"forminator-textarea\" rows=\"6\" style=\"min-height:140px;\" maxlength=\"180\" aria-describedby=\"forminator-field-textarea-2_69e21a9d1d39c-description\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-3\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-3_69e21a9d1d39c\" id=\"forminator-field-textarea-3_69e21a9d1d39c-label\" class=\"forminator-label\">Current Struggles <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-textarea-3_69e21a9d1d39c-description\" class=\"forminator-description\">Describe the challenges you are currently facing.<span data-limit=\"180\" data-type=\"characters\" data-editor=\"\">0 \/ 180<\/span><\/span><textarea name=\"textarea-3\" placeholder=\"\" id=\"forminator-field-textarea-3_69e21a9d1d39c\" class=\"forminator-textarea\" rows=\"6\" style=\"min-height:140px;\" maxlength=\"180\" aria-describedby=\"forminator-field-textarea-3_69e21a9d1d39c-description\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"slider-1\" class=\"forminator-field-slider forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-slider-1_69e21a9d1d39c\" id=\"forminator-field-slider-1_69e21a9d1d39c-label\" class=\"forminator-label\">Readiness to Commit<\/label><span id=\"slider-1-description\" class=\"forminator-description\">On a scale from 1 to 10, how ready are you to commit to this program?<\/span><div class=\"forminator-slider forminator-slider-full forminator-slider-size-small\"><input type=\"text\" id=\"forminator-field-slider-1_69e21a9d1d39c\" class=\"forminator-hidden-input\" style=\"display:none;\"\/><div class=\"forminator-slide forminator-slide-handle-icon\" aria-required=\"false\" data-is-range=\"\" data-min=\"1\" data-max=\"10\" data-step=\"1\" aria-describedby=\"slider-1-description\" data-value=\"1\"><\/div><div class=\"forminator-slider-amount forminator-slider-amount-bottom\" data-value-template=\"{slider-value}\"><span class=\"forminator-slider-value-min\"><\/span><input type=\"hidden\" value=\"\" data-hidden-behavior=\"zero\" id=\"forminator-field-slider-1-input_69e21a9d1d39c\" name=\"slider-1\" class=\"forminator-slider-hidden-min\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-4\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-4_69e21a9d1d39c\" id=\"forminator-field-textarea-4_69e21a9d1d39c-label\" class=\"forminator-label\">Additional Information<\/label><span id=\"forminator-field-textarea-4_69e21a9d1d39c-description\" class=\"forminator-description\">Any other information you would like to share.<\/span><textarea name=\"textarea-4\" placeholder=\"\" id=\"forminator-field-textarea-4_69e21a9d1d39c\" class=\"forminator-textarea\" rows=\"6\" style=\"min-height:140px;\" aria-describedby=\"forminator-field-textarea-4_69e21a9d1d39c-description\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-1\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-1\"><label class=\"forminator-label\">Investment<\/label><p><strong>12-week Coaching Plan \u2013 $750<\/strong><\/p>\n<p>Includes:<\/p>\n<ul>\n<li style=\"list-style-type: none\">\n<ul>\n<li>Custom macro targets<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li style=\"list-style-type: none\">\n<ul>\n<li>Personalized workout plan<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li style=\"list-style-type: none\">\n<ul>\n<li>Weekly video check-ins<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li style=\"list-style-type: none\">\n<ul>\n<li>Ongoing progress tracking<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>Please click the payment link before submitting the form.<\/p>\n<p><a rel=\"noopener noreferrer\" target=\"_blank\" href=\"https:\/\/www.venmo.com\/u\/kristinmatsumoto\">Payment link<\/a>&nbsp;<\/p><\/div><\/div><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><div class=\"forminator-row forminator-row-last\"><div class=\"forminator-col\"><div class=\"forminator-field\"><button class=\"forminator-button forminator-button-submit\">Send Message<\/button><\/div><\/div><\/div><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"1cee81ad16\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F105\" \/><input type=\"hidden\" name=\"form_id\" value=\"153\"><input type=\"hidden\" name=\"page_id\" 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