1:1 Personal Training Inquiry Form
Welcome to Strength by Nayree, a one-on-one personal training program that approaches fitness with functional movement tailored to your fitness goals. Please take a few minutes to complete this application if you are ready to level up and work closely with a knowledgeable and dedicated coach who will keep you accountable to reach your goals. After completing this form, you will be scheduled with a FREE 20 minute consultation with Coach Nayree before booking your first session.
Full Name
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First Name
Last Name
Date of Birth
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Month
-
Day
Year
Date
Age
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Height
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Weight
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Approximate is okay
Email Address
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example@example.com
Phone Number
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Format: (000) 000-0000.
Instagram Handle (if applicable)
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What are your fitness goals? (Select all that apply)
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Weight loss
Build muscle
Tone
Healthy lifestyle
Improve Athleticism
General Fitness (I'm a beginner)
What is a realistic timeline you'd like to reach your goal(s)?
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Rows
8 Weeks
16 Weeks
24 Weeks
32 Weeks
40 Weeks
1 Year
Now
What do you think is the main obstacle preventing you from reaching your goals?
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What is your occupation? If possible, please specify your work schedule (mornings, nights, 9-5, etc.)
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If you are a student, please specify.
Do you have any of the following conditions? (Select all that apply)
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Diabetes
Asthma
Dizziness
Chest Pain
Recent Surgeries or Injuries
High/Low Blood Pressure
None of the above
Are you on any prescription medication(s)? If yes, please specify below.
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Have you worked with a personal trainer before?
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Yes
No
Select the option that best describes you.
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I want change, but still weighing the pros and cons of exercise
I'm ready to start exercise (OR I occasionally exercise)
I've been exercising consistently for LESS than 6 months
I've been exercising consistently for OVER 6 months
Describe your experience in the gym.
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Beginner
Intermediate
Advanced
What kind of workouts do you LOVE (or would be interested in doing)?
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E.g. pilates, weight lifting, specific exercises, etc.
Are you comfortable with sending progress photos taken personally by you?
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Yes
No
Are you comfortable with your progress and/or training photos/videos being posted on social media?
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Yes
No
Yes, but without my face
How would you rate your level of readiness and commitment to a new exercise program with a trainer?
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I'm not sure I can commit to a new program, I'd like some more information
I can commit, but I need some support, motivation, and accountability
I'm definitely READY and committed! When can I start?
Submit Inquiry
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