Free Online Personal Training Consultation

Free Online Personal Training Consultation

Please fill in all the details and I look forward to speaking with you!
Full Name*

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Gender

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Date of Birth*

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Age
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Height
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Weight
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Phone Number

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If you have any diagnosed health problems list the condition(s).
Are you experiencing any stresses or motivational problems?

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if yes, please explain:
Please rate your readiness for change.

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Which of the following best fit your goals?

Improved HealthTone UpIncreased StrengthIncreased Muscle MassFat LossWeight GainBuild Confidence
Why are these goals important to you ?

TImeline for achieving your goal.

	16 WKS	24 WKS	32 WKS	40 WKS	1 YEAR
NOW

Are you currently excersising?

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Have you trained with a personal trainer before?

YesNo
What are your expectations of training with Not Perfect Fitness?
ALL THE INFORMATION I HAVE GIVEN IS CORRECT All the information on this form is correct and to the best of my knowledge. I have sought and followed any necessary medical advice. I understand that all the information given will be kept confidential.
I AGREE TO BE CONTACTED BY NOT PERFECT FITNESS*

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