FREE CONSULTATION
Be honest with your answers, so we can plan the perfect fitness journey to you.
Name
*
First Name
Last Name
Email
*
example@example.com
Date of Birth
*
-
Month
-
Day
Year
Date
Phone Number
Please enter a valid phone number.
Height
*
Weight
*
Which are the reasons you would like to train with PT?
*
Weight loss
Gain Muscle mass
Stay heathy /be healthy
Improve confidence
Other
Other
What is your fitness level.
*
Beginners
Intermediary
Advanced
Tell us more about your fitness level.( optional)
What types of exercises you like?
*
Resistance training
Functional exercises
HIT exercises
Body weight training
Classes
Lifting
Crossfit
I don’t know
Others
How many times a week you train/ wants to train?
*
Twice a week
3 times a week
4 times a week
5 or more times a week
Other
How many times a week you would like to train with personal trainer?
Twice a week
3 times a week
4 times a week
5 or more times a week
I’ll train by myself
Other
When would you prefer train ?
*
Mornings
Lunch time
Afternoon
Evenings
Nutrition
Being honest , please tell us about your diet.
1 to 5 how do you rate your diet ?
*
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Lifestyle, occupation and hobbies:
*
What are your barriers to exercising?
*
Do you have any current or previous injuries or medical conditions we should be aware of?
Yes
No
If yes, please provide details below.
Anything else you would like to tell us. (Optional)
Upload an actual photo of you body. (Optional)
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NUTRITION
Being honest, please tell us about your diet.
Should be Empty: