1-1 Personal Training Form
1-1 online coaching
this is an online coaching program which requires MONTHLY reoccurring payments
What is your preferred name?
What are your major goals/targets? check all that apply
weight loss
weight gain
overall fitness and health
Meal consistency
Select your top 2 goals from list above and explain why achieving these goals is important to you
Do you have any medical concerns I should know about? ex injuries, medical conditions?
How would you describe your lifestyle
not very active (does not workout)
slightly active (on your feet all day as well as does the occasional workout)
active (goes to the gym just needs some guidance)
If you currently exercise, how would you describe your routine
very effective
somewhat effective
not effective
If applicable, describe your current exercise regimen
What do you think you're struggling with the most? (ex, no structure, no consistency, lack of motivation)
Have you worked with a trainer before? if so, please detail what you liked and did not like
Do you have access to a gym?
yes
no
some equipment at home
Please leave your email AND phone number so I can get in touch with you! PLEASE check your junk folder as my emails tend to go there.
example@example.com
Submit
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