Personal Training Application/Inquiry Form
Below is a questionnaire to apply for personal training with me. Why do you need to apply? The truth is - we want to make sure we're a great fit for each other. The answers to this questionnaire helps me to get an idea of whether or not I'm the right trainer for you. If I feel that we're a good fit, you’ll get an email from me with instructions on how to get started. If not, I’ll let you know that, too.

Regardless, you should hear from me within 24 hours.

Please be as detailed as possible. The more I understand about you, the better!
Email *
First and Last Name: *
When is your birthday?
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What City do you currently reside in? *
Have you ever worked with a personal trainer before? *
If you have worked with a personal trainer before, what  worked well and what didn't work well for you?
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How did you hear about me?
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How do you spend a typical day?
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If I could wave a magic wand and turn you into your ideal you, what would you look and feel like? What would that do for you?
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What's the biggest obstacle standing in the way of you reaching your fitness goals?
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What best describes your current situation?
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Any past or current injuries I should know about?
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What goal would you like my training to help you achieve?
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Why right now? *
On a scale of 1 to 5, 1 being "I just want to sit on the couch and eat donuts" and 5 being "I'll eat blended broccoli and unicorn blood everyday if that's what it takes", how committed are you to achieving your fitness goals?
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Is there anything else I should know or that you want me to be aware of?
In a movie about your life, who would play as you?
Today's Date *
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