Personal Training Interest
Please fill out this form to let us know about your exercise/medical history as well as your goals. We will follow up with you to schedule a time for your initial assessment and goal setting session.
Full Name
*
First Name
Last Name
E-mail
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Age
*
Gender
*
Female
Male
Prefer not to answer
What forms of exercise are doing you currently or have you done in the past?
*
Exercise History
Your Goals
What would you like to accomplish through your training program?
*
Move Better - Movement Quality/Injury Prevention
Feel Better - Energy/Mood/Lifestyle
Look Better - Gain Muscle/Lose Fat
Perform Better - Sports Performance
Age Better - Nutrition/Sleep/Recovery
Why is this important to you?
*
Motivation
What is your timeline to reach your goal?
*
6 weeks
3 Months
6 Months
1 Year or more
Unsure - Help me decide
What is your commitment level to reaching your goals?
*
100% Committed
50% Committed
0% Just exploring options
Unsure - help me decide
Preferences
What session type do you prefer?
*
Individual
Small Group (2-5ppl)
Large Group (6-12ppl)
Unsure - Help me decide
What is your preferred workout time?
*
Mon
Tues
Wed
Thu
Fri
Sat
Early AM
Late AM
Early PM
Late PM
Medical History
Please list any major injuries, illnesses, or surgeries that resulted in an inability to exercise for 2 weeks or more.
*
Medical History
Anything else you would like to share with us?
Submit
Should be Empty: