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Training Application Form (1:1 Personal Training or Group)
Let me help you, get that dream body!
19
Questions
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1
What's your full name?
First Name
Last Name
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2
What's your age?
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3
What's your weight and height? (if you don't know put N/A)
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4
Have you ever worked with a personal trainer?
YES
NO
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5
Are you looking for 1:1 Personal Training , group or online training?
1:1 Personal Training
Group Classes
Online Program
Open to all
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6
In a year from now, what would your dream body look like? (Feel better in my body, lose weight, gain weight, build strength, have bigger glutes, have abs etc)
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7
Any medical conditions? (such as diabetes, heart disease, etc..)
*
This field is required.
YES
NO
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8
Any past injuries? (ACL injury, shoulder dislocation, lower back injury, etc..)
*
This field is required.
YES
NO
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9
What is your experience with weight lifting?
Select the one that best suits you
Beginner (Less than a year)
Intermediate (1-3 years)
Advanced (3+ years)
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10
How often do you currently exercise?
Completely inactive
Once a week
2-3 times a week
4 times or more per week
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11
What do you struggle with the most? (can't lose stubborn fat, making time for the gym, gaining weight, losing weight, not knowing where to start...etc)
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12
How many hours of sleep do you get per night on average?
4-5
5-6
6-7
7-8
8+
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13
What does your diet currently look like? Describe a typical day of eating.
*
This field is required.
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14
Do you consider yourself driven, organized and self-reliant?
Yes
No
Maybe
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15
How committed and motivated are you to reaching your health and fitness goals? (1-10)
*
This field is required.
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16
What's the best email to reach you at?
*
This field is required.
example@example.com
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17
What's your phone number?
*
This field is required.
Please enter a valid phone number.
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18
Where are you from? (Ottawa, Montreal, New York, London etc)
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19
Training Call
The first step is to get on a video call and discuss your goals. Pick a time below and I’ll send a calendar invite for a teams call. Please confirm the invite once you receive it.
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