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Personal Training Consult
Welcome! Let's get a little information about you, your health, and fitness goals. Please answer the following, and a Corebalfit Team Member will be back with you shortly.
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Name
*
Your answer
Phone number
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Your answer
Email
*
Your answer
Age
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Your answer
Gender
*
Female
Male
Prefer not to say
What are your fitness goals (example: weight loss, run a marathon)?
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Your answer
What's the biggest challenge with reaching your fitness goals?
*
Choose
Consistency/discipline
Motivation
Time
Don't know proper form/technique
All of the above
What is your occupation?
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Your answer
Do you have any injuries or pain when moving (i.e walking, running, sitting, lifting, pushing)?
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Yes
No
If yes, please specify
Your answer
Have you had any surgeries?
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Yes
No
If yes, please specify
Your answer
Have you had a personal trainer before? If yes, how was your experience?
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Your answer
How often are you looking to train?
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Three or more times a week
Twice a week
What is your availability?
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Your answer
Do you prefer a male or female trainer?
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M
F
No preference
How did you hear about us?
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Your answer
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