New Client Interest Form
Thanks for your interest in training with us! Take 5 minutes to fill out this form and we will be in touch with you within 24 hrs. This information will be used to better customize your program. We look forward to working with you!
Email *
Name *
Address
Phone number *
Age *
What is your occupation? *
What fitness program are you interested in? *
Were you referred by one of our partnering companies? *
Interested in a free phone call consultation to further discuss program options and/or goals? *
Why are your looking for a fitness trainer, or which best describes your goal? *
Required
What is your height? *
What is your current weight? *
How active are you on a daily basis? *
What sports do you play? *
Which of the following best describes your diet? *
Required
Will you be training... *
What type of home equipment do you have? *
What gym do you exercise at? *
Does your gym have resistance bands accessible? If yes, what kind? *
Will you be available to send a quick video or attach a couple pictures of your home or gym equipment?
Clear selection
What are your preferred forms of movement or exercise? *
Required
Would you like nutritional guidance? *
How familiar are you with training and counting calories/macronutrients? *
Very unfamiliar
Very familiar
Do you have food allergies? If yes, please explain. *
How many days a week are you available to exercise? *
How much time do you have available to exercise during the day? *
Required
Have you ever had a personal trainer before and where?
Do you have any physical injuries, chronic illnesses, or other functional limitations that we should be aware of during your training? *
Do you have a history of high blood pressure? *
Please list any dietary supplements you are taking?
Do you have any sensitivities or trauma relating to discussion of calories, weight, measurement, progress photos, etc.?
Clear selection
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