Personal Training Inquiry
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Your Instagram Profile Name:
Occupation?
Age & Weight
How motivated are you to make real positive change in your life?
Very little motivation
Somewhat
Very motivated
Lets do this!
On a scale from 1-10, 10 being most ready...How ready are you to hire a personal trainer?
What is your goal? Lose 20 lbs? Gain weight? Overcome a bad mental state? Be specific. This doesn't have to just be a physical goal.
What have you tried in the past and why hasn't it worked for you? What is stopping you from reaching your goals?
Does your spouse or significant other support you? (Meaning they will give you a thumbs up on whatever you decide if we decide to move forward with training)
Yes
No
Not applicable
If accepted, how soon are you looking to get started? (If you aren't ready please wait and schedule when you are. We expect those who feel it's a fit to move forward. Those who are not ready are more likely to continue to do nothing resulting in negative program adherence.)
Submit
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