PERSONAL TRAINING / NUTRITION INQUIRY FORM
Your goals are unique and personal; your program should be too.  Our team will work closely together with you to carefully curate a custom workout routine that not only challenges you but get you the specific results that you are after.  Accountability, variety, challenge + support.

Please tell us a little bit about yourself so we can best assist you in achieving your goals.

*Your information is kept confidential.*
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电子邮件地址 *
First and Last Name *
Birthday *
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Phone Number *
What type of training are you looking for?
Gender:
Height:
Weight:
What is your goal for working together with a personal trainer or health coach?
Are you currently a PURE gym member?
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Have you worked with a trainer in the past?
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If yes, what worked well for you?  What did you really like about it?
If no, what are your expectations?
Tell us what you struggle with most?
Current activity level
Nothing at all
Extremely active
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How many times per week would you ideally like to work 1:1 with a trainer?  
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Would you prefer to have your sessions in the gym or our private training studio?
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Do you have any injuries or health concerns that we should know about?  Please describe.
What is your preference of day/time?

Preferred start date: 
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Is there a specific trainer that you would like to work with?  Please note their name here.  

If not, we will pair you with the best suited trainer based on your personal goals.  (Bio's available on our website)
*Please note we have a 12 hour cancellation policy.  If you cannot make it to your session please let your trainer know prior to 12 hours in advance. *
By submitting this form you acknowledge and understand that we do not do refunds on gym memberships, personal training or group fitness class passes. *no exceptions*
We would love to know how you heard about our personal training? Were you referred by anyone, please tell us who.
Any additional comments or concerns? Please let us know.
Click submit and let's get started!
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