Personal Training Application
I'd love to get to know you more! Please fill in your details below if you're interested in working together to achieve your fitness goals!
Name
First Name
Last Name
E-mail
example@example.com
Phone Number
How old are you?
Height (ft)
Weight (lbs)
What are your fitness goals?
Example: gain muscle & strength, lose weight, maintain, etc.
What are your short term goals (1-4 months)?
What are your long term goals (6-12 months+)?
What do you feel has been your biggest struggle in trying to reach your goals and what has been holding you back?
Example: lack of motivation, consistency, guidance, etc.
How dedicated are you to your goals & why?
What are you currently doing to obtain your health, wellness, and fitness goals?
Example: nutrition, exercise, activities, etc.
What physical activities and forms of exercise do you enjoy/prefer?
Example: yoga, weightlifting, strength & conditioning, cardio, etc.
Which activity level best describes you and your lifestyle currently?
Sedentary
Somewhat Active (1-2x per week)
Moderately Active (3-4x per week)
Very Active (5-6x per week)
How many training sessions are you looking to have together per week?
2 days per week
3 days per week
4 days per week
5 days per week
How many rest days are you looking to have per week?
1 day per week
2 days per week
3 days per week
4 days per week
Where do you prefer to workout?
At Home
In a Gym
Balance between at home & in a gym
Other
If you are looking to train at home, what equipment do you have?
If you don't have any that's completely okay!
Do you have any health complications or restrictions when it comes to working out?
Example: injuries that prevent you from performing certain exercises
Are you on any medications? If so, please explain.
Example: High Blood Pressure medicine, etc.
My 1:1 personalized training is SPECIFIED to your goals and NEEDS. Why do you want to work with me?
What are your expectations working together?
What is your knowledge level when it comes to health, fitness, and wellness?
Advanced
Intermediate
Novice
Other
I'm here to teach you to achieve your goals in the way that YOU want to sustain them for life, while also enjoying the process. Are you willing to invest your time, consistency, and effort into obtaining your goals?
Heck yeah! I can't wait to start! I'm confident in my abilities!
I'm excited to start but feel I need quite a bit of guidance.
I've already started my fitness goals but need more structure and guidance.
I'm a bit nervous but want to make a change. I understand how essential my overall health and wellness is.
Submit Application
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