Application for Private Training
Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Name
First Name
Last Name
Email:
example@example.com
Instagram:
@example
Age:
Height:
(ft in)
Weight:
(lbs)
Where do you live?
(City)
Which weekdays are you available? (Check all that apply.)
Monday
Tuesday
Wednesday
Thursday
Friday
What time of day are you available? (Check all that apply.)
Early Morning
Morning
Afternoon
Evening
What is your current level of fitness?
Please Select
Beginner
Intermediate
Advanced
(Beginner: new to lifting/exercise, Intermediate: lifting recreationally for up to one year, Advanced: training seriously for more than one year.)
Will you be training at home and/or in a gym in addition to training with me?
Please Select
Yes
No
Not Sure
(Example: two days/week with me, two days/week in the gym.)
What are your short term and long term goals?
(Lose weight, build muscle, improve overall health, etc.)
Do you have any medical conditions that may affect your ability to participate in physical activity?
(Spinal issues, heart condition, high blood pressure, etc. All information is confidential.)
Do you understand that your results are based on the effort, consistency and dedication that you put towards your goals, in and outside of the gym?
Please Select
Yes
No
(A trainer/coach does not do the work for you.)
Anything else you think I should know:
Submit
Should be Empty: