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Personal Training Interest Form
Thank you so much for your interest in working with me! Please fill out the short form below and I'll be in contact ASAP!
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Name
Your answer
Pronouns
Your answer
Phone Number
Your answer
Email
Your answer
Do you currently follow a work-out program?
Yes
No
Clear selection
If so, please describe a bit about what your program is currently like.
Your answer
What are some general goals with fitness?
Your answer
What is your MOST IMPORTANT goal with fitness?
Your answer
How positive has your relationship to fitness been throughout your life overall?
Very negative; Bad exerpeinces
1
2
3
4
5
6
7
8
9
10
Very positive; Love fitness and movement
Clear selection
Please list any chronic health conditions below (Diabetes, High Blood Pressure, Cancer, etc.)
Your answer
Please list any past injuries which required medical intervention (Broken bones, pulled/strained muscles, bursitis, etc.)
Your answer
If you have any questions or want to leave me any more information about yourself, please use this space!
Your answer
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