Personal Training Client Inquiry
Tell us about your goals, background, and availability so we can see if in-person gym training is the right fit for you.
Personal Details
Please provide your basic information so we can get in touch.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Mobile Phone Number (with country code)
*
Please enter a valid phone number.
Format: (000) 000-0000.
Age Range
*
Please Select
18–24
25–34
35–44
45–54
55+
Prefer not to say
Training Interest & Goals
Share your interests and what you want to achieve with personal training.
What made you interested in working with me?
What are your main fitness goals?
*
Fat loss
Muscle gain
Strength
Performance
General health
Confidence
Post-pregnancy
Other
How soon are you looking to start?
Immediately
Within 2 weeks
Within 1 month
Just exploring
Preferred Training Frequency
1x/week
2x/week
3x/week
4+ times/week
Not sure yet
Experience & Current Situation
Tell us about your training background and current activity level.
How would you describe your current training experience?
Beginner
Intermediate
Advanced
Do you currently have a gym membership?
Yes
No
If not a Clublime Clarkson member, are you prepared to train at this gym, either to sign up or discuss a casual pass for our sessions?
How active are you right now?
Not active
1
2
3
4
Very active
5
1 is Not active, 5 is Very active
Health & Injury Screening
Your responses help us keep your training safe and effective. Please answer as best you can.
Do you have any current injuries, pain or limitations to movement I should know about?
Yes
No
If yes, please briefly describe:
Do you have any medical conditions that may affect your training?
Yes
No
If yes, please briefly describe. We can discuss further in person:
Are you currently cleared by your doctor to exercise?
Yes
No
Not sure
Any medications relevant to exercise? (optional)
Schedule & Logistics
Help us find a time that works for you.
What days are generally best for you?
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday (am only)
What times of day work best?
Early morning
Late morning
Afternoon
Evening
Budget & Commitment
Let us know your budget and how ready you are to get started.
What is your approximate monthly budget for personal training?
Under $200/month
$200–$400/month
$400–$600/month
$600+/month
Prefer not to say
Have you had a personal trainer before?
Yes
No
How committed are you to reaching your goals in the next 3–6 months?
Not committed
1
2
3
4
Fully committed
5
1 is Not committed, 5 is Fully committed
Final Questions & Consent
Almost done! Please share any final details and consent to be contacted.
Is there anything else you’d like me to know about you, your goals, or your situation?
Are you interested in Nutrition Coaching?
Yes
No
Are you open to a consultation call to book in a time to meet in person?
*
Yes
No
Submit Inquiry
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