Full Name
*
First Name
Last Name
Phone Number
*
Format: (000) 000-0000.
E-mail
*
example@example.com
Age
*
Instagram Profile
*
Have you ever done online training before?
*
Yes
No
Where are you located?
*
Which training program focus matches most with your goals?:
*
Please Select
Strength Training
Glute Gains
Beginner's Workout Structure
Body Recomposition (Lose Fat/Gain Muscle)
What's your fitness level?
*
Please Select
I'm a Beginner
I'm an Intermediate
I'm Advanced
How many times per week do you currently workout?
*
Please Select
None
1-2
3-4
5+
What do you currently struggle with the most? nutrition, exercising, consistency, etc.
*
Do you intend on making a long term investment in personal training for yourself? (3+ months)
*
Yes
No
Maybe
List all minor and major injuries that may limit your ability to exercise:
*
N/A if not applicable
What are your goals with personal training? (Or are there any specific areas of the body you are most concerned about?)
*
What are your expectations as far as training goes and what you expect of me as your trainer?
*
On a scale of 1-5, being the most, what would you rate yourself with experience to resistance training and using equipment in the gym
*
None
1
2
3
4
Highly
5
1 is None, 5 is Highly
Do you currently have any health conditions that we should be aware of including those that may interfere with your exercise or nutrition? Example: asthma, high or low blood pressure, diabetes etc.)
*
N/A if not applicable
Are there any exercises you would prefer we avoid/ you need to avoid? Why?
How did you hear about us?
*
Social Media
Friend/Referral
Current Member
An Event
Other
Did any of my current clients refer you to me? If so, who?
Submit
Should be Empty: