One to One Personal Training
PLEASE COMPLETE THE FORM BELOW AND I WILL CONTACT YOU AS SOON AS POSSIBLE
Name
*
First Name
Last Name
Age
*
Gender
*
Male
Female
Transgender
Your E-mail address
*
example@example.com
Mobile Number
*
What is your current weight?
*
Do you have any current injuries, illnesses/disabilities?
*
What is you main GOAL?
*
Lose fat
Build muscle and get stronger
To have more energy
Other
How active are you?
*
Sedentary (desk job with little to no exercise)
Light Exercise (1-2 days/week)
Moderate Exercise (3-5 days/week)
Heavy Exercise (6-7 days/week)
What is stopping you from reaching this goal weight?
*
0/10
Have you had a Personal Trainer OR an Online Coach before? If so, what was your experience like?
*
0/40
Tell me in depth to WHY this goal is important to you? (e.g. for a holiday/event etc)
*
0/100
How would you like to look and feel in the 12 weeks (3 months) while working with me?
*
0/100
Are you committed to training at least 3 times times a week?
*
Yes
No
Are you willing to invest in training with me right now?
*
Yes
No
Other
Please let me know if you have any questions.
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