PERSONAL TRAINING / HEALTH COACHING INQUIRY FORM
First and Last Name
What kind of
GYM Orientation (30 minute tour of the equipment)
Personal Training (working 1:1 with a Personal Trainer on fitness goals)
Nutrition Consultation (30 minute consultation with a Health Coach focused on nutrition)
Lifestyle Coach for overall wellness and lifestyle balance (30 minute)
Are you already a PURE gym member?
Yes, currently have a gym membership.
Not right now, I need to renew.
I have never been to PURE.
What is your number 1 desired outcome from working together with a personal trainer or health coach?
Do you have any injuries that we should know about? Please describe.
Have you worked with a trainer in the past?
If yes, what worked well for you? What did you really like about it?
If no, what are your expectations?
Tell us what you struggle most with?
How many times per week would you like to work 1:1 with a trainer?
What is your preference of day/time?
Is there a specific trainer that you would like to work with? Please note their name here.
You acknowledge and understand that we do not do refunds on gym memberships, personal training or group fitness class passes. *no exceptions
Credit Card #:
CVC (back 3 digits)
Address associated with card provided:
Any additional comments or concerns? Please let us know.
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