Personal Training Demo Day
December 14th, 2023
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Preferred Time
Early Morning
Late Morning
Lunch Time
Afternoon
Evening
The next questions will help us to pair you with the right trainer for your goals
Please Select Your Top 3 Objectives
Get stronger 💪
Burn Fat 🔥
Injury Recovery 💖
General Health 🥑
Look Better, Feel Better 🙌
Improve Flexibility & Range of Motion 🤸
Learn New Exercises & Equipment 🤓
Other
Do you want to move better/go faster?
Yes
No
How would you describe your current exercise level?
I complete 150+ minutes of intense exercise every week
I complete less than 150 minutes of intense exercise every week
What style of workout are you most excited about? (select all that apply)
An intense workout on the turf using sleds, ladders, battle ropes, etc.
A moderate intensity, cardio based workout using weights only
A functional full-body workout
A functional full-body workout
A muscle building split routine
Do you currently suffer from any chronic or acute pain?
Yes
No
Where is pain located?
Neck
Shoulders
Upper Back
Mid Back
Low Back
Hips
Knees
Feet
Other
How would you describe your pain?
It comes and goes
It’s a dull ache all the time
I get sharp pains when I move a certain way only
I sometimes experience tingling and numbness
Other
Has the pain been present for more than 3 months?
Yes
No
Do you have a medical diagnosis for your pain?
Yes
No
Anything else you would like to share?
Submit
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