Personal Training Inquiry Form

First Name (required)

Last Name (required)

Phone Number (required)

Age

Email (required)

Preferred Method of Communication (required)

Phone

Email

Will this be a group training session? (required)

Yes

No

If yes, who are the other group members?

Do you prefer a male or female trainer? (required)

Male

Female

No preference

Is there a specific trainer you would like to work with?

Have you worked with a personal trainer before? (required)

Yes

No

Do you currently perform any type of physical activity?

Yes

No

If yes, how often?

1 time / week

2-3 times / week

4-5 times/ week

Daily

What does your physical activity consist of?

How many times per week would you like to train? (required)

Would you like 30 or 60 minute sessions? (required)

30 minutes

60 minutes

What part of the day would you like to train? (required)

What are your health and fitness goals?

Please indicate other specific goals you have in regards to your exercise program:

Additional Comments