New Client Registration Form
Client Details:
Full Name
*
First Name
Last Name
Instagram Handle:
Age
Phone Number
*
E-mail
example@example.com
Do you have any pre-existing medical conditions (asthma, diabetes, heart conditions, etc.)? If so, please list them.
Do you experience any pain, discomfort or limitations during physical activity?
Have you had any surgeries or injuries in the past?
Have you worked with a trainer or coach before?
Yes
No
Do you currently have or follow a workout routine? If so, please explain.
What are your primary fitness goals? (E.g., weight loss, muscle growth, strength, overall health)
Why are these/this goal(s) important to you?
Do you have a specific timeline or event that you’re working toward?
What is your biggest obstacle in reaching your goals?
How many days per week are you looking or available to train?
What time of day do you prefer to workout?
Please Select
Early AM
Late AM
Afternoon
Evening
Do you prefer 1:1 training or small group (max. 3)?
1:1
Small group
Do you have a specific budget in mind for monthly training?
Please Select
$200-$300
$300-$400
$400+
Submit
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