PERSONAL TRAINING / NUTRITION INQUIRY FORM

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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.*

Email *

First and Last Name *

Birthday *

YYYY

Phone Number *

What type of training are you looking for?

1:1 Personal Training

2:1 Partner Training (great with friends and spouses)

Small Group Training (4 persons)

1:1 Personal Training + Gym Membership $250/mo. *3 month minimum

Gym Orientation (30 minute tour of our facility + Q and A of equipment)

Nutrition Consultation

1:1 Boxing Session

12 Week Transformation Program *see website for details*

Gender:

Height:

Weight:

What is your goal for working together with a personal trainer or health coach?

Overall wellness

Weight loss

Toning

Rehabilitation

Specific goal in mind

Accountability + consistency

Need a program to follow

Learn the gym

Build strength

Are you currently a PURE gym member?

Yes

Have never been to PURE

Clear selection

Have you worked with a trainer in the past?

Yes

Clear selection

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

Clear selection

How many times per week would you ideally like to work 1:1 with a trainer?

1 per week

2 per week

3 per week

1 per month

2 per month

3 per month

Unknown

Clear selection

Would you prefer to have your sessions in the gym or our private training studio?

Gym

Studio

Either/Both

Clear selection

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:

YYYY

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)

Jessica Crawford

Lindsey Schoenne

Christine Crawford

Rhonda van der Veer

Brandi Johnstone

Megan McKay-Hall (1:1 Boxing Coach)

*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. *

I understand.

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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