Boston Personal Training Questionnaire
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Personal Trainer Orientation - GENERAL INFORMATION
Your Name *
Phone Number *
Email Address *
Preferred Method of Communication *
Are you an EverybodyFights member?
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EBF Location *
If you have a preference for a particular trainer, please write their name below.
 If a member referred you to this form, please write their name below.
What times work for you?
What days work for you?
Why are you seeking personal training?
If you are interest in small group training, please list the names and email addresses of the other people you would like to train with:
What would you like to achieve during your session?
MEDICAL INFORMATION
Has your doctor said you have a heart condition and that you should only do physical activity recommended by a doctor?
 *

Have you ever experienced any chest pain, severe shortness of breath, loss of balance due to dizziness, or loss of consciousness during physical activity or in your day-to-day life? 

 *
Do you have any bone or joint issues that could be made worse with physical activity?
*
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