Personal Training Consultation Form
Please fill in all the details and I look forward to getting started!
1. Full Name
*
First Name
Last Name
2. Email
*
3. Phone Number (Optional)
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Area Code
Phone Number
4. What are your main fitness goals? Multiple choice — Select all that apply.
Lose body fat
Build muscle
Increase strength
Imrove flexibility & mobility
Strengthen my core
Improve glute and leg strength
Learn calisthenics
Improve posture and balance
Improve general health and fitness
Other
5. How would you describe your current fitness level?
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Please Select
● Beginner
● Intermediate
● Advanced
● Returning to exercise after a break
Please Choose
6. What type of personal training are you interested in?
*
Please Select
● In-person training
● Online personal training
● Mobile/in-home training, if available
● Not sure yet
Please Choose
7. How often would you ideally like to train?
*
Please Select
● Once a week
● Twice a week
● Three times a week
● Four or more times a week
● Not sure yet
Please Choose
8. What days and times are you generally available? (multiple choice)— Select all that apply
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Monday
Tuesday
Wednesday
Thursday
Saturday
Sunday
Preferred time:
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Early morning
Morning
Afternoon
Evening
9. How do you prefer to be contacted?
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Please Select
Email
Phone call
Text message
10. Do you have any injuries, health concerns, or physical limitations that may affect your exercise?
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Yes
No
Unsure
If yes or unsure, you may briefly describe any relevant limitations below or ask to discuss them privately before training.
11. What would you most like me to know about your goals or what you need from a personal trainer?
For example, you may share your main goal, previous challenges, or the support you are looking for (long answer optional)
I AGREE TO THE ABOVE TERMS & CONDITIONS!
*
Yes
No
Submit
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