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Personal Training
Name
*
First Name
Last Name
Phone Number
*
E-mail
*
example@example.com
First Personal Training Visit?
*
Yes
No
Are you currently a member?
*
Yes
No
Select an Appointment Date
*
Comments
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Additional Information
Age
What are your long and short term goals? (Please be as specific as possible.)
Please list any pertinent medical history and/or restrictions.
Job Description
Physically Demanding
Somewhat Physically Demanding
Sedentary/Office
Not Applicable
Level of Experience (How would you describe your current fitness level?Beginner? Advanced?)
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