Nomad Krav Maga

Quick Intro Form

You’re about to take the first step in your Nomad Krav Maga journey.

This short form helps us learn about your goals, challenges, and what you’re looking to achieve — so we can guide you with purpose from the moment you walk in.

It only takes about 5 minutes, and it helps us make your first session focused, efficient, and all about you.

We’re excited to meet you and get started. Let’s go! 😊

Your Basic Info

Full Name

Phone *

Email *

Your Goals

What's your MAIN Goal(s)? (Check all that apply)

Learn Self-Defense

Lose Weight & Burn Fat

Build Muscle & Strength

Boost Confidence

All of the Above

Other

If you answered 'Other' to the previous question, explain here.

Why Now?

What made you take action today?

Your Current Situation

Which of these best describes where you're at right now?

I want to start but don’t know where to begin.

I've tried on my own but feel stuck and need real guidance.

I know what to do—I just need Accountability and Expert Coaching to stay consistent.

What's been your biggest roadblock so far? (Check all that apply)

Lack of Knowledge

Lack of Time

Lack of Accountability

Nutrition Confusion

Financial Limitations

Honestly...A Mix of Everything

Coaching Experience + Commitment

Have you ever worked with a coach or trainer before?

Yes

No

How motivated are you to becoming the strongest, most confident version of yourself—Starting Now?

1 – Not ready yet

2 – Thinking about it

3 – Open, but need direction

4 – Ready to start with support

5 – ALL IN and ready to go

This is a results-driven program that requires real commitment. Are you truly ready to invest in yourself and show up?

Yes

No

If this program feels like the right fit, how soon would you want to get started?

Right away

Within a few days

Still deciding

Training Schedule Preferences

This helps us understand what times might work best for you. Don’t worry — we’ll work together to build a plan that fits your life.

What time frame(s) are you most likely to train? (Check all that apply)

Day Sessions (11:30 AM - 12:30 PM)

Evening Sessions (6:00 PM - 8:00 PM)

I'm not sure. I need schedule flexibility.

Which days work best for you to train? (Check all that apply)

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

I'm not sure. I need schedule flexibility.

How many sessions per week do you plan to train?

Less than 1 session per week

1 session per week

2 sessions per week

3 sessions per week

Support System + Readiness

Do you have a spouse or significant other involved in your decision-making?

I’m single and make my own decisions

Yes, and they support me

Yes, but they don’t support this decision

If Yes, can they attend this first meeting with you?

N/A

Yes, I'll bring them.

No, I'll come alone.

Do you make your own financial decisions?

Yes

No

It's Complicated

Whats a realistic monthly investment you’d consider for reaching your goals and learning real self-defense?

$100/mo

$200-$300/mo

$500-$750/mo

$1000+/mo

Let's Get Personal (Optional but Helpful)

What would need to change in your life or routine for you to call this program a success?

Are you preparing for a specific event or time frame? (Vacation, wedding, upcoming trip, recent life change?)

Are you currently dealing with any injuries, physical limitations, or past issues we should know about? This helps us keep you safe and build a plan to work around (or overcome) anything holding you back.

Is there anything personal you’re currently working through that we should be aware of or support you with? (e.g. recently attacked, recent trauma, PTSD, past/current abuse)

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