Questionnaire
If you received this form it is because you are ready to experience 1 on 1 training services like never before. This form is to be completed with the intent that you are willing to make or keep a positive lifestyle.
Email *
Were you referred by anyone? If yes, please name the person who referred you. You may provide additional details below. *
How would you describe your current level of fitness (fitness age) *
What type of training interests you most? *
What are you looking to accomplish short term and long term for your fitness goals? *
Have you had a Personal Trainer before? *
Do you plan on tracking and maintaining a well balanced diet throughout your program? *
What are you willing to commit toward your goals? *
How many days per week are you available to workout? *
What equipment do you have available to you? Do you have access to a gym? *
How would you rate your stress on an average day? *
Please list your age, bodyweight, and any 1 Rep Maxes that you know
Summarize what you are looking to get out of personal training. Then, please tell me why you are a good client for me to take on. *
If applicable: What is your availability to schedule a consultation? Please list several dates and times. Thank you.
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