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Personal Training Intake Form
CoreFitness
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* Indicates required question
Your name
*
Your answer
Your email address
*
Your answer
Your phone number
*
Your answer
Your home address
*
Your answer
What is your primary goal(s) for working with a personal trainer?
*
Your answer
Do you have any medical conditions or injuries that will affect your exercise sessions?
*
Your answer
How can I assist you in achieving your goals? (check all that apply)
*
Design an appropriate exercise program
Hold me accountable
Help me with nutrition
Other
Required
Is there anything else you would like me to know that is important to helping you achieve your fitness/wellness/mobility goals?
Your answer
How would you like to submit payment for sessions?
*
Cash
Check
Credit Card
Venmo
PayPal
Zelle
Required
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