Personal Training Client Application Form

Personal Training Client Application Form

Please fill out this form to give me a clear picture of how I can prepare your personalized program and assist you in reaching your goals. This may take you about 5 to 10 minutes to complete. I will then reach out to you via email within 24 - 48 hours so we can set up a day and time to connect either in person (Abbotsford, BC Canada) or via Zoom.
I look forward in getting to know you! If you have any questions about this form, please email me directly. kayla.limpright@gmail.com

Chat soon

- Kayla Limpright
Full Name

First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Location

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip CodeCountry
What are your primary fitness goals? (fat loss, muscle growth, improve strength, etc.) and WHY are they important to you?
What would achieving these goals change in your life and what has stopped you from reaching these goals before?
How would you describe your current activity level?
How familiar are you with exercising, specifically with equipment? (ie. dumbbells, barbells, machines, rubber bands, kettlebells, cable machines, etc.)
Are you currently working out at home or in a gym? If so, what exercises do you like or dislike?
Do you have any medical conditions or injuries I should be made aware of? Are you cleared to workout by a healthcare provider?