Personal Training Consultation Form

Full Name

First NameLast Name

Gender

Age

years

Height

ft

Weight

If unknown that's okay

Phone Number

Area CodePhone Number

Email

How do you prefer to be contacted?

If you have any diagnosed health problems list the condition(s).

If you have any injuries, please list them.

Do you suffer from diabetes, asthma, high or low blood pressure?

if yes please list:

What following goals does best fit in with your goals?

What is your goal with your training?

TImeline for achieving your goal.

Rows	8 WKS	16 WKS	24 WKS	32 WKS	40 WKS	1 YEAR
NOW

How often do you want to do Personal Training a week?

Please Choose

Is it okay to post photos and videos to social media of training and/or progress photos?

Are you okay with Progress Photos (taken personally)?

What are your expectations on me as your Personal Trainer?

I AGREE TO THE ABOVE TERMS & CONDITIONS!

1.) Once Consulation form is filled out please allow 24-72hrs for me to get back to you, an email will be sent out requesting payment. Payment can be sent via CASHAPP( $bryanaaa) other form of payment options; (APPLEPAY and or ZELLE). 8-week Elevate Body Recomp program will be sent via email.

CANCELLATIONS fees are non refundable once program is emailed and sent.

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.