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Training Application
Please fill out this form and I will contact you to schedule a free 15 minute consultation!
18
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1
Name
*
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First Name
Last Name
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2
Email
*
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Only used for contact purposes!
example@example.com
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3
What is your age?
*
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4
What are your pronouns?
*
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5
What is your exercise history?
General history, doesn't have to be too detailed!
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6
How would you rate your current fitness on a scale from 1-10?
*
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1 being sedentary, 10 being extremely active or fit
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7
What is your current fitness goal?
*
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We will discuss this in more detail in the consultation
Strength
Muscle Growth (hypertrophy)
Fat Loss
Body Recomposition
Cardiovascular Health
General Health and Fitness
Injury Prevention
Athletic Power
Strength
Muscle Growth (hypertrophy)
Fat Loss
Body Recomposition
Cardiovascular Health
General Health and Fitness
Injury Prevention
Athletic Power
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8
How confident are you in your ability to lift weights?
*
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I have never lifted weights before
I have lifted before but am not confident
I am somewhat confident
I am very confident
I have never lifted weights before
I have lifted before but am not confident
I am somewhat confident
I am very confident
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9
On a scale of 1 - 10, how ready are you to make a change in your health and fitness?
*
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1 being not ready, 10 being very ready and committed
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10
Why do you want to make this change?
*
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11
What hesitations do you have towards exercise and lifting weights and how are they holding you back from your goals?
*
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Ex. fear of injury, don't know where to start, worried what others think etc.
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12
Do you have any injuries, conditions, or chronic pain? If yes, please explain.
*
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13
Are you in school or working? If working, describe your job
Type of work, typical length of shift (is it a night shift?), if you are mostly sitting or moving
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14
Are there any exercises you absolutely love, or absolutely hate?
*
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I want you to love your program!
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15
Are there any types of exercise you currently do and want to continue to incorporate into your lifestyle?
*
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Yoga, biking, running, classes, etc.
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16
What are the main things you are looking for in a personal trainer/coach?
*
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How do you want to be supported? What are the most important things I can do for you individually?
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17
What type of training are you looking for?
Online Only
In Person Only
Hybrid
Online Only
In Person Only
Hybrid
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18
How prepared are you to invest in your health and fitness?
I am financially prepared to invest in a trainer and my health and fitness.
I would like to talk more about options and payment plans to make sure its the right investment for me at this time
I'm not sure if I can afford a personal trainer right now but would like to learn more about your services and what this entails
I am financially prepared to invest in a trainer and my health and fitness.
I would like to talk more about options and payment plans to make sure its the right investment for me at this time
I'm not sure if I can afford a personal trainer right now but would like to learn more about your services and what this entails
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