Personal Training Interest Form
My mission is to share my passion for the concepts of wellness and self-care with all whose paths I cross.

I look forward to working with you!

One-on-one training allows me to focus on goals that are specific to your own needs. With personalized options, we can build a program that encompasses all aspects of staying healthy and active.

I offer both onsite and online Personal Training options, and I look forward to exploring which option may work best for you.
And in addition to being a Certified Personal Trainer, I am also a Certified Nutrition Coach, to support you in making the best nutritional choices to meet your goals in a sustainable way.

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Name (First and Last) *
Email address *
Phone *
Zip Code *
Gender *
Date of Birth *
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How did you learn about me? *
Which type of training are you interested in? *
What is your preferred time to train? *
How many times per week would you ideally like to work with a Personal Trainer? *
What fitness goal(s) would you like to achieve? *
Are you currently exercising regularly? (3x or more/wk for at least 30min/day) *
What are you looking for, from your Personal Trainer? *
Would you also be interested in Nutrition Coaching *
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You can always reach me at 470-723-2096; but in the meantime, what else should I know?
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