Personal Training Client Intake Form

Personal Training Consultation Questionnaire
Part 1. Basic information
Full Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Date of Birth

MonthDayYear
Part 2. Interested in:

Achieve your desired results with our expert trainers.
What following goals does best fit in with your goals?

Improved healthImproved enduranceIncreased strengthIncreased muscle massFat loss
Do you have a specific trainer in mind that you would like to train with?

Greg ByersTre MariglianoTommy MoffattNick CalandrellaShuvaun BrennanFran KnowlesTheresa FodersKai Moy
At what times during the day would you prefer to train?

MorningMid-DayAfternoonEveningOther
Please list the physical activities that you participate in outside of the gym and outside of work
If you have any injuries, please list them.
How often are you willing to train a week to reach your goal?
Are you currently excersising regulary (at least 3x per week)?

YesNo
Have you trained with a personal trainer before?

YesNo
How often do you want to do Personal Training a week?
Please Choose
Should be Empty:

Personal Training Consultation Questionnaire