Intake form

Name *

Email address *

What services are you interested in?

Please select at least one option.

Stretch services

Workout classes via Zoom

Herbs

Teas

What is your preferred class schedule?

Do you have any specific goals for your fitness journey?

Have you participated in any stretching or fitness programs before?

If yes, please specify which programs you have tried.

Do you have any health conditions or injuries we should be aware of?

Which herbs or teas are you most interested in?

Please select at least one option.

Herbal teas

Green teas

Black teas

Loose leaf herbs

Pre-packaged herbs

How did you hear about move your buns?

Which service or services are you interested in?

Please select at least one option.

Stretch services

Zoom workout classes

Herbs and teas

Initial consultation for $150

Follow-up consultation for $100

Additional questions or comments

Move Your Buns