WIN'N FITNESS Training Inquiry Questionnaire

1
Full Name* This field is required.
First Name
Last Name
2
Gender
Male
Female
3
Date of Birth* This field is required.
Month
Day
Year
4
Please enter below: (Phone #& Instagram)* This field is required.Example: 310-XXX-XXXX, winexample@xxx.com,@winnfitness
5
Email* This field is required.
example@example.com
6
What times during the day would you prefer to train?* This field is required.
Morning
Afternoon
Evening
7
If your are looking for in-person/virtual training list times that works best for you.Example: 8a,12p, 2p, 7p, & etc..
8
What type of training are you looking for?* This field is required.Please chose one
In-Person
Virtual
Program
Mental Health
9
What is your ideal monthly budget?
$350-$550
$600-$1000
$1000+
10
Height & Weight* This field is required.Example: 6'2 196 lbs
11
Where are you located?* This field is required.Example: Hidden Hills, CA
12
What do you do for work?* This field is required.Some exercises can improve performance and reduce hardship at work
13
Do you follow a regular working schedule, do you work days, afternoon or nights?
14
Please list the physical activities that you participate in outside of the gym and outside of work.:
15
If you have any injuries, please list them.* This field is required.Type N/A is none!
16
If you are on any medications, please list them.* This field is required.Type N/A if none!
17
Do you suffer from diabetes, asthma, high or low blood pressure?
Yes
No
18
If yes please list:
19
Please rate your readiness for change.* This field is required.
1
2
3
4
5
6
7
8
9
10
20
What is your ultimate goal?* This field is required.
Fat Lost
Build Muscle
Tone & Define
Aesthetics
21
* This field is required.
22
What’s your #1 fitness goal right now? & Why do you want to achieve this now?* This field is required.
23
TImeline for achieving your goal.* This field is required.
24 WKS
32 WKS
40 WKS
1 YEAR
NOW
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
NOW
24 WKS
Row 0, Column 0
32 WKS
Row 0, Column 1
40 WKS
Row 0, Column 2
1 YEAR
Row 0, Column 3
24
Please rate your motivational level to do what it takes for you to reach your goal.
1
2
3
4
5
6
7
8
9
10
25
Have you trained with a personal trainer before?
Yes
No
26
WIN'N FITNESS utilizes a training app to create personalized workouts that promote health, resilience, and community engagement. We also offer outdoors/private home training. Pick 1 or Both
27
What are your expectations on me as your Personal Trainer?* This field is required.
28
For In-Person/Private Training ONLY. How many times a week are you looking to training?Per Session rate for 1hr of Training-
1x/week
2x/week
3/week
Online App Training Only
WIN'N Team & Climb Members (Receive Exclusive Discount)
29
Payment for training are paid in full at the start of a package.* This field is required.
Yes, I understand
30
Are you interested in group training with other WINRs or private 1 on 1?
Group Training
Private Training
Online App Training
31
MUST-READ

1.) CANCELLATIONS: Cancellations should be made at least 24 hours in advance of a scheduled session. Purchased Sessions/Packages canceled after 24 hours will be charged in full to the client. 2.) LATE ARRIVALS: Each session shall be 1 hour in length. Sessions will not be extended (unless time is available) due to the lateness of the client or due to interruptions caused by the client. 3.) PAYMENTS: Next Payments are due before the last session. Must be paid before working out. 4.) ALL THE INFORMATION I HAVE GIVEN IS CORRECT All the information on this form is correct and to the best of my knowledge. I have sought and followed any necessary medical advice. I understand that all the information given will be kept confidential.
32
I AGREE TO THE ABOVE TERMS & CONDITIONS!* This field is required.
Yes
No
33
Do you follow us on Instagram? @WinnFitness & @TheRealWinrYou BETTER NOW :)
YESNO
34
Are you a part of WIN'N Team (@TheWinn.Store) &/or The Climb (@TheClimbLA) member?Yes, if you own WIN'N Gear & a WIN'N Account &/or have shown up to the The Climb Saturday workouts at least 8 Saturdays Minimum.
YESNO
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