Personal Training Enquiry Form
@Resultswithhari
Welcome to Your Fitness Journey!
I believe that everyone deserves the opportunity to lead a healthier, stronger, and more confident life. To help me understand your unique needs and goals, I ask that you take a few moments to complete this form. The information you provide will ensure that I can offer the best possible support and create a personalised training plan tailored just for you. By filling out this form, you’re taking the first step toward achieving your fitness goals with the guidance and support of a dedicated trainer. I am committed to making your fitness journey as inclusive, empowering, and rewarding as possible. Let’s get started and make every workout count!
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Name
First Name
Last Name
Date of Birth
Please provide DOB in day/month/year format
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Preferred Contact Method:
Please Select
Phone
Email
Text
How did you hear about @Resultswithhari
Please Select
Instagram
Facebook
TikTok
YouTube
Referral from friend or family member
Goals and Objectives
@Resultswithhari
What are your primary fitness goals? (Tick all that apply)
Weight loss
Muscle Building
General Fitness
Sports Performance
Injury Rehabilitation
Other
What is your target timeline for achieving these goals?
1-3 months
3-6 months
6 months +
Are there any specific areas you’d like to focus on?
Strenght
Cardio
Flexibility
Endurance
Other
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Health and Lifestyle
@Resultswithhari
Do you have any medical conditions or injuries I should be aware of? (If Yes, please specify)
Are you currently on any medications? (If Yes, please specify)
What is your current fitness level?
Beginner
Intermediate
Advanced
How often do you exercise?
Rarely/Not at all
1-2 times a week
3-4 times a week
5+ times a week
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Scheduling
@Resultswithhari
What days and times are most convenient for your session, weekdays, weekends ? (Please specify Mornings, Afternoon or evenings with timings, if possible)
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Additional Infomation
@Resultswithhari
Have you worked with a Personal Trainer before?
Yes
No
Do you have access to a gym or a at home fitness equipment?
Is there anything I should know to help you achieve your goals? (Any aspirations or setbacks)
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About you!
@Resultswithhari
“Are you on social media?” (Please provide the platform- Instagram, Facebook etc. and your account names.
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Your one step closer!
Thank you for submitting your application for a Personal Trainer! I will aim to get back to you in 3-4 days after reviewing your form. Depending on your chosen method of contact, I will get in touch to discuss in detail your fitness journey, pricing and any questions you may have for me 😊
Submit- Thank you!
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