Fitness Gym Consultation Form

1

NAME

2

Phone Number

Area Code

Phone Number

3

EMAIL

4

Gender

Male

Female

5

Age

6

Height

Inches

7

Weight

lbs

8

1. Are You applying For In person training or Online Training?

10

Explain Your goals more in detail? Are you currently taking action towards your fitness goals? If yes what does that look like for you? Do you currently have any injuries or surgery back ground?

11

Are you interested in training only or nutrition only?

Training

Meal planning

Both

12

How often Do You Exercise?

1-3 times per week

4-5 times per week

Couch Potato 0

Don’t know where to start

13

Tell us why Do you need Training? What is your why? Why are you motivated to succeed?

14

How long have you wanted this goal?

15

What prevented you from achieving your goals?

16

What times are you available to Train?

Morning

Mid-Day

Afternoon

Evening

17

Have you ever work with a trainer before?

19

Our Average Client lose 8-10 pounds in the first month or 3-5% body fat is that ok?

20

Are You Ready to invest in your health and fitness goals, nutrition and gain confidence in and outside the gym and finally make a breakthrough?

21

Are You Ready to invest in your health and fitness goals, nutrition and gain confidence in and outside the gym and finally make a breakthrough?

YES! Let’s Do this

No

22

Set you Appt! What is the best time to call or come in for friendly , motivated consultation on what we offer to help you achieve your fitness goal?Make sure you give us the best number to reach you! Be in touch within 24 hours

23

Appointment