Section 1 of 3
Personal Training + Nutrition Intake Form
Please fill out this form so I can better help you achieve your specific health and fitness goals. Be honest — we all start somewhere. I’m here to support you every step of the way. IF YOU ARE INTERESTED IN PURCHASING A GIFT 🎁 CARD PLEASE NOTE WE WILL CONTACT YOU FOR PAYMENT AFTER THIS FORM IS SUBMITTED.
YOU MAY ALSO EMAIL INFO@FULLARMOURFIT.COM
🎁GIFT CARD PURCHASE
🎁GIFT CARD PURCHASE
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1 Personal Training Session - $75
4 Personal Training Sessions- $300
8 Personal Training Sessions- $560
12 Personal Training Sessions- $780
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If you are purchasing a gift card, please provide:
-Recipient’s full name, email address and phone number
- Sender’s full name, email address and Optional Message for the Recipient (to include on the certificate):
If you are purchasing a gift card, please provide:
-Recipient’s full name, email address and phone number
- Sender’s full name, email address and Optional Message for the Recipient (to include on the certificate):
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Your name
Your name
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How did you hear about us? Please indicate if Facebook ad, Instagram ad, Google search, word of mouth referral, etc. If referral, please let us know who sent you so we can thank them.
How did you hear about us? Please indicate if Facebook ad, Instagram ad, Google search, word of mouth referral, etc. If referral, please let us know who sent you so we can thank them.
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Section 2 of 3
City/State you reside
Best phone number
Best phone number
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Your email address
Your email address
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Instagram Handle (if applicable, or preferred social)
Instagram Handle (if applicable, or preferred social)
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Preferred Method of Contact
Preferred Method of Contact
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Phone Call
Email
Text
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Section 3 of 3
Tell me about yourself
This section helps me to understand a little more about you and your lifestyle
Gender
Gender
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Female
Male
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Age
Age
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Height
Height
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Weight
Weight
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What are your main fitness and lifestyle goals? (check all that apply)
What are your main fitness and lifestyle goals? (check all that apply)
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Get in shape / lose weight / cut fat / build muscle
CHIP TEST (Police/Fire)
Establish personal discipline & consistency
Build a healthy lifestyle and feel fulfilled
Mental Health
Gain strength and power
Bulk/Offseason muscle building
Competition/In-season shred while maintaining muscle
Other:
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How would you describe your current level of exercise?
How would you describe your current level of exercise?
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Sedentary- Little to no physical activity (e.g. desk job, minimal exercise)
Lightly Active- Light exercise 1-3 days per week (e.g. casual walking, biking)
Moderately Active- Moderate exercise 3-5 days per week (e.g. gym sessions, sports)
Very Active- Hard exercise 6-7 days per week (e.g. training for a sport or event)
Extra Active- Intense training twice per day or physical job plus exercise
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Describe a typical day of eating and include number of times per week you consume fast food, go out to eat or get takeout. Include what you eat and number of times you eat per day. Include any sugary or alcoholic drinks/coffee add-ins
Describe a typical day of eating and include number of times per week you consume fast food, go out to eat or get takeout. Include what you eat and number of times you eat per day. Include any sugary or alcoholic drinks/coffee add-ins
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What has been holding you back from living your lifestyle and fitness goals?
What has been holding you back from living your lifestyle and fitness goals?
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Please visit our website www.fullarmourfit.com and review the different options for services, packages and pricing. Please check off areas you are interested in. THIS IS NOT A COMMITMENT FOR SERVICES, but gives me an idea of what you are looking for, and how we can help!
Please visit our website www.fullarmourfit.com and review the different options for services, packages and pricing. Please check off areas you are interested in. THIS IS NOT A COMMITMENT FOR SERVICES, but gives me an idea of what you are looking for, and how we can help!
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1:1 Personal training services (Provided at Arsen's Gym, Wallingford, CT)
Remote (only) Personal Training Services
Hybrid Training - MOST POPULAR! In-person training + remote training
Remote (only) Personal Training + Remote Nutrition Coaching Services
Nutrition coaching services
The Total Transformation Package: 1:1 In-Person + Remote Training + Nutrition Coaching
CHIP Test- Hybrid
CHIP Test- Fully remote
Other:
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What days of the week can you work out (remote and/or in person combined. Check all that apply
What days of the week can you work out (remote and/or in person combined. Check all that apply
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Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Other:
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I have visited www.fullarmourfit.com and reviewed services, packages and pricing (if not please copy link and do this AFTER you fill out this form)
I have visited www.fullarmourfit.com and reviewed services, packages and pricing (if not please copy link and do this AFTER you fill out this form)
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Yes
No
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How many days a week are you looking to train in-person with me? (if applicable. CHIP Testing Hybrid is 2x in person + REMOTE)
How many days a week are you looking to train in-person with me? (if applicable. CHIP Testing Hybrid is 2x in person + REMOTE)
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1x per week
2x per week
3x per week
I prefer remote services
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If you prefer online/virtual training using an app that I customize specifically for you (instead of in-person): IMPORTANT please click this link and indicate you came from Full Armour Fitness
If you prefer online/virtual training using an app that I customize specifically for you (instead of in-person): IMPORTANT please click this link and indicate you came from Full Armour Fitness
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If your application is accepted, how soon can you start? (Multiple Choice)
If your application is accepted, how soon can you start? (Multiple Choice)
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Immediately
Within a week
Within a month
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What time of day can you usually work out? Check all possible options
What time of day can you usually work out? Check all possible options
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5-6 am
6-7 am
7-8 am
8-9 am
9-10 am
10-11 am
11-12 pm
12-1 pm
1-2 pm
2-3 pm
3-4 pm
4-5pm
5-6 pm
6-7 pm
Other:
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Thank you for filling out this form! Somebody will reach out to you soon. Feel free to text 203-394-3358 or email info@fullarmourfit.com with any immediate questions.
Thank you for filling out this form! Somebody will reach out to you soon. Feel free to text 203-394-3358 or email info@fullarmourfit.com with any immediate questions.
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