Request edit access
MyFitness Butler Online/In-Person Training Form
This is a brief assessment that helps us better learn about your fitness experience, needs, and goals and determine if our online program is right for you.  
Sign in to Google to save your progress. Learn more
Email *
Name
Phone
How did you hear about us?
Clear selection
Do you own a smartphone or tablet?  
Clear selection
Have you ever done online training before?
Clear selection
What type of fitness programs have you tried?
Clear selection
Where do you typically workout?
How often do you workout?
Clear selection
What are your fitness goals?
Do you currently have access to any exercise equipment?  If so, please list.   
Would you prefer in-person training at a gym?
Clear selection
Do you live in the Columbus, Ohio area?
Clear selection
What has stopped you from achieving your fitness goals in the past?  
Any past injuries or serious health issues that would keep you from exercising?  
When would you like to start?  
MM
/
DD
/
YYYY
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms