Free First Fitness Consultation Sign-Up
Name
*
Email
*
example@example.com
Age
Which fitness training option are you interested in?
*
1:1 Personal Training: In Person (San Antonio, TX Area)
1:1 Personal Training: Virtual
1:1 Personal Training: Hybrid (In Person & Virtual)
Personalized Workout Plans and Coaching
When are you available for a FREE 30 min Zoom consultation?
*
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
What is your working schedule? Do you work mornings, afternoons or nights?
*
How often do you travel?
*
A few times a year
A few times a month
Weekly
Please list the physical activities that you participate in outside of the gym and outside of work.
*
Are you experiencing any stresses or motivational problems?
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Yes
No
Has your doctor ever said that you have a heart condition and that you should only perform physical activity recommended by a doctor?
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Yes
No
Has anyone of your immediate family developed heart disease before the age of 60?
*
Yes
No
If another disease runs in your family, please specify:
Are you a current cigarette smoker?
*
Yes
No
Do you suffer from any of these?
Seasonal Allergies
Diabetes
High Blood Pressure
None
Your current diet could be best characterized as:
*
Low -fat
Low-carb
High-protein
Vegetarian or vegan
No special diet
Other
Please rate your readiness for change.
*
On a scale of 1-10 (1 being not ready for change)
Which of the options below best fit in with your current goals?
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Improved health
Improved endurance
Increased strength
Increased muscle mass
Fat loss
What is your long term goal in training?
*
Why is this your goal? What is the reason you want change?
*
Submit
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