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

First NameLast Name
Gender
Date of Birth

MonthDayYear
Age
years
Height
ft. in.
Weight
If unknown that's okay
Phone Number

Area CodePhone Number
Email
How do you prefer to be contacted?
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If these times don't work, lets us know and we can schedule!
If you have any diagnosed health problems list the condition(s).
Are you experiencing any stresses or motivational problems?
if yes, please explain:
Please rate your readiness for change.
Which of the following best fit your goals?
Why are these goals important to you ?

TImeline for achieving your goal.

Rows	16 WKS	24 WKS	32 WKS	40 WKS	1 YEAR
NOW

Are you currently excersising?
Have you trained with a personal trainer before?
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
Remember to follow on instagram: @CoachNickAv

Thank you!
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