Personal Training Consultation Form

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Name: *

Age:

Phone Number: *

Email: *

Street Address: *

State / Province / Region: *

What are your main fitness goals? *

Weight Loss

Muscle Gain

Strength & Toning

Improving Fitness & endurance

Increasing Flexibility

Overall Health & Well Being

Have you worked with a personal trainer before?

Yes ( but not currently)

No (my first time)

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Your current fitness level

Beginner (Little to no exercise experience)

Intermediate (Work out occasionally but not consistently)

Advanced (Train regularly and have experience with structured workouts)

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How would you like to meet with Coach Rhapsody?

In Person (Gym in Philadelphia, PA)

Online (Zoom, Google meet, FaceTime)

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Availability for Free Consultation

8AM - 10 AM

10 AM - 12 PM

12 PM - 2 PM

2 PM - 4 PM

4 PM - 6 PM

6 PM - 8 PM

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Any injuries, medical conditions, or concerns I should know about?

Your Nutritional status from 1-5

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Submit

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