Name
First Name
Last Name
Email
example@example.com
Phone Number
-
Area Code
Phone Number
Where are you approximately located?
What is your monthly budget for personal training?
AGE
WEIGHT
HEIGHT
What kind of personal training are you seeking?
Accountability Coaching
1 on 1 In-Person
Virtual
Online
Hybrid (In-Person/Virtual/Online)
GLP-1
Nutrition Coaching
Small Group / Couples
Event / Corporate
Weight Loss
Build Muscle
Mobility
What location are you looking to train?
In-Home
Semi-Private Gym
Completely Private Gym
Where did you find me?
Google
Instagram
Facebook
Referral
Other
Have you ever worked out with a Personal Trainer?
YES
NO
What are your fitness & health goals?
Appearance (aesthetics)
Cardiovascular endurance
Flexibility
Health (General)
Muscular definition
Muscular size
strength/power
Self-esteem or confidence
Feel Better or Positive Attitude
Improve moods & ability to cope with stress
Social Interaction
Speed
Sports performance
Stress reduction
Toning and reshaping the body
Weight loss
Posture
Do you exercise regularly?
I have never exercised regularly
I used to exercise regularly
I currently exercise regularly
Rate your experience with exercise
beginner
intermediate
advanced
Are there any particular body parts you want to see in better shape / condition?
Do you have a specific time-frame to achieve your fitness goal?
YES
NO
Do you have access to a gym or workout space? If so, which?
Apartment Gym
Home Gym
Outdoor Gym
Park
Public or Private Gym
What equipment do you have access to?
Free weights (dumbbell/barbells)
Gym machines (Nautilus, Precor, Cybex, etc... )
Cable weights
Resistance bands
Bosu balls
Kettlebells
TRX bands
Bowflex
None
Can you swim?
YES
NO
What are your favorite music genres?
House
EDM
Pop
Hip Hop
Rock
R & B
Jazz
Classical
Other
On which days are you available to work out?
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
What time frames are you available to train?
How frequently do you want to exercise per week?
1-3 days a week
4-5 days a week
6-7 days a week
up to trainer to decide
How frequently do you want to TRAIN WITH ME?
1-3 days a week
4-5 days a week
6-7 days a week
up to trainer to decide
Do you have any existing injuries or conditions that I should be aware of while building your training plan?
Are you interested in Nutrition, Mobility or Wellness Coaching?
Nutrition
Wellness
Mobility
Any other comments about what you would like to see or learn about?
Submit
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