Personal Training Consultation

Full Name*

First NameLast Name

Gender

MaleFemale

Date of Birth*

MonthDayYear

Social Media *

What are your fitness goals?*

Weight loss + Tone (build muscle)Gain weight + Build muscleBuild overall endurance and strengthMaintain + Tone, Build strength

What’s driving you to start this journey now instead of later? *

Are you currently excersising regulary (at least 3x per week)?*

YesNo

Describe your current weekly activity *

How often are you willing to train a week to reach your goal?*

What does a typical day of eating look like for you? *

Are you ready to make changes to your habits outside of the gym?*

What has stopped you in the past from reaching your goals?*

Have you trained with a personal trainer before?*

YesNo

Is this for in person, online or virtual personal training?*

In PersonOnlineVirtual

Is this for 1-on-1 training or group training?

1-on-1Small Group Training

When do you want to get started on this goal?*

Next 2 weeksNext 30 days

What monthly investment are you currently prepared to commit toward your fitness goals? (This helps us match you with the best training option for your goals and budget)

$100-$200 (online or group training)$200-$400 (1:1 training)$400-$600 (1:1 training)

Whats the “why” behind your decision to invest in training? *

Which do you prefer?*

MorningsAfternoonsEveningsI’m open

How do you want to feel in your body six months from now?*

On a scale 1-10, how committed are you to making the changes needed to reach your goals? Why that number? *

Phone Number (best mobile # to receive text ) *

Please enter a valid phone number.