Potential Client Application
CHAPEL FITNESS LAS VEGAS
Please enter a valid phone number.
When is the best time to contact you?
How did you hear about Chapel Fitness Las Vegas?
Do you live in Las Vegas? If not, then where?
What are your fitness goals? (be specific as possible)
WHY do you want to achieve your goal?
When would you like to achieve your goal by? (Event or Specific Date)
How motivated are you to achieving your goal? Scale of 1-10
How many hours per week total are you willing to commit to working toward your fitness goals?
What do you need the most help with?
Self-confidence & Mindset
Hit a plateau
Relationship with food
Habits outside the gym
How many days a week do you eat out?
Have you ever hired a personal trainer, fitness or wellness coach? If yes, how long did you work with him/her? Discuss your experience both positive and negative.
What are you currently doing for fitness?
What do you believe are your greatest obstacles to reaching your goals?
Do you have any injuries or restrictions?
Do you currently have a gym membership?
Are you applying for a specific trainer?
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