PERSONAL TRAINING & ONLINE COACHING CLIENT FORM
Please fill out the information below and I will be in touch shortly.
Full name
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First Name
Last Name
Birth Date
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Day
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Month
Year
2 digit day, 2 digit month, 4 digit year
Date
E-mail
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What type of training are you looking for?
Please Select
In-person 1-to-1 Personal Training
Hybrid Coaching
What are you looking to achieve through your 1-2-1 sessions?
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Weight loss
Build muscle
Training for an event
Improve confidence in the gym
Become fitter
What are you looking to achieve through your Online Coaching?
Please Select
Fat Loss
Muscle Building
Accountability
Training for a specific Event?
All of the Above.
What best describes your current stage of training?
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Beginner (little to no experience)
Intermediate (some experience)
Advanced (regularly attend the gym)
How many 1-2-1 sessions per week are you looking for?
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1 session
2 sessions
3 sessions
What is your availability for 1-2-1 sessions (please specify days / times)?
Phone Number
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Area Code
Phone Number
Do you have any additional questions?
Have you worked with a personal trainer or online coach before?
Yes
No
What did you find useful, or what would you want done differently this time?
Initials
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