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Your Orbita, Together - Application

Four weeks of personal guidance, shaped around where you are now and where you would like to go.

Tell me a little about yourself so I can understand how I could best support you. There are no right or wrong answers—this is simply a first step towards getting to know you.

Completing this application takes approximately two minutes. I’ll personally read your answers and respond within 24 hours.

What should I call you?

What email address can I reach you at?

What would you most like to work towards over the next four weeks?

Where are you starting from with movement right now?

A
B
C
D

What has usually made it difficult to begin or stay consistent?

What kind of support do you feel would help you most right now?

What equipment would you have available?

Is there any current pain, injury, movement limitation or professional guidance that I should know about before we work together?

A
B
C

What would make these four weeks feel meaningful to you?

Is there anything else you would like to share that could help me understand and support you better?

I have read the Orbita Core Privacy Policy and agree that Orbita Core may use my answers to review this application and contact me about the next step.