New Customer Consult Form

New Customer Consult Form

Online & In Person Training
Customer Details:
Full Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Format: (000) 000-0000.
E-mail
example@example.com
How did you hear about us?
Online or In Person Training?
Tell me about your goals!
Have you worked with a Personal Trainer before? Tell me about your experience in detail!
Tell me about your daily food intake!
Tell me about your current exercise regimine!
Please tell me about any previous injuries, tight muscles, or aches.
Pick a day for our first phone consult! This will take about 30 minutes.
Pick a day for our first in person consult! This will take about 60 minutes. (Please schedule call first unless otherwise specified)
What is your current in person availability to meet with me?
What type of equipment access do you have?

Please give reference of any two people whom you feel may benefit from personal training:

Rows	Full Name	Email	Contact Number
1
2

Final question: What are you looking for out of a personal trainer? Please tell me your expectations :)
Should be Empty: