Gym 1801 Personal Training Interest Form

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.
Name*

First NameLast Name
E-mail*
example@example.com
Mobile Number*
Birth Date*

MonthDayYear
Gender*

MaleFemalePrefer not to answer
What forms of exercise are doing you currently or have you done in the past?*

Preferences
What session type do you prefer?*

IndividualSmall Group (2-5 people)Large Group (6-12 people)Unsure - Help me decide

What is your preferred workout time?*

	Mon	Tues	Weds	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.*
Anything else you would like to share with us?
Should be Empty: