Functionally Fit Custom Fitness- Glenview Personal Trainer
Thanks for your interest in Functionally Fit Custom Fitness. Please fill out the questionnaire below 24 hours before your consultation with your designated coach This form is to learn more about you so we can take better care of you and make sure the structure of coaching is a good fit for your goals and individual needs.
Email address *
Name *
Email *
Phone number *
How do you prefer me to contact you?
What is your primary interest *
What made you fill out this form today? Why now? *
In General, What Are Your Goals? check all that apply *
Do you have a timeline for reaching that goal?
3. On a scale of 1-10 how do your feel about your body right now? (10 being you would run down the street naked.) *
4. On a scale of 1-10 what are your energy levels right now? (1 being you can't get out of bed.) *
6. What qualities are you looking for in a Custom Fitness Program? *
7. Have you ever worked with a fitness coach before? *
8. If "Yes" from #7. How Did that Work For You?
What kind of fitness schedule do you feel you can commit to?
Please list any medical considerations or limitations that you may have.
If you know that you have a medical condition that needs a physician's release to participate in a non-medical fitness program, please check the forms to be sent to you by email. Otherwise, please check mark the PARQ and RISK documents for all participants. *
Thank you for your time. Remember, there is no one-size-fits-all approach to fitness success. With a Custom Fitness Coaching Program you will break through your barriers with a program that is personalized for you as an individual. We will contact you as soon as we assess your document. In the mean time, please feel free to complete our other required documents upon receiving them and before beginning any physical activity. The sooner everything is complete, the sooner we will begin. *
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