N10ERGY FITNESS TEEN ONLINE PERSONAL TRAINING CONSULTATION
Complete as many details as possible to help us support you in getting the most out of your training!
Teens Name
*
First Name
Last Name
Parent or Guardian Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Date Of Birth
*
-
Day
-
Month
Year
Date
Current Health & Activity
This helps us understand your current activity and medical status
Does your teen have any diagnosed health problems? Please list:
Is your teen currently taking medication? Please list:
Does your teen have any injuries? Please list:
Has anyone in your teens immediate family developed Heart Disease before 60?
*
Yes
No
Does your teen suffer from diabetes, asthma, high or low blood pressure?
*
Yes
No
What describes your teens current nutrition
*
Vegan/ Veggie
Low Carb
Low Calorie
No Specific Diet
How Can We Help You?
This last section ensures we know how to best get you the results you want!
Has your teen worked with a Personal Trainer before?
Yes
No
At what time of day would your teen ideally be training at the gym?
*
5am-9am
9am-12pm
12pm-4pm
4pm-7pm
7pm-9pm
What day(s) would your teen ideally train on?
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
How Many Personal Training sessions would your teen like to do weekly?
*
1 Day
2 Days
3 Days
4 Days
Would like to discuss with a trainer
What are you and your teens expectations from your teens personal trainer? What do you need from our PTs?
Lastly, how did you find out about the N10ergy Studio?
*
Referral from a friend or family
Walked past the studio
Google/AI search
Social media
Sponsorship (APFC Kit Sponsor)
Spoken directly to an N10ergy Trainer
Other
Submit
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