PERSONAL TRAINING / HEALTH COACHING INQUIRY FORM
Your goals are unique and personal; your program should be too.  Our team will work closely together with you to carefully curate a custom workout routine that not only challenges you but get you the specific results that you are after.  Accountability, variety, challenge + support.

Please tell us a little bit about yourself so we can best assist you in achieving your goals.

*Your information is kept confidential.*
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Email *
First and Last Name *
Birthday *
MM
/
DD
/
YYYY
Phone Number *
What type of training are you looking for?
Height:
Weight:
What is your goal for working together with a personal trainer or health coach?
Are you currently a PURE gym member?
Clear selection
Have you worked with a trainer in the past?
Clear selection
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 with most?
Current activity level
Nothing at all
Extremely active
Clear selection
How many times per week would you ideally like to work 1:1 with a trainer?  
Clear selection
Do you have any injuries or health concerns that we should know about?  Please describe.
What is your preference of day/time?
Is there a specific trainer that you would like to work with?  Please note their name here, if not we will pair you with the best suited trainer based on your personal goals.
*Please note we have a 12 hour cancellation policy.  If you cannot make it to your session please let your trainer know prior to 12 hours in advance. *
You acknowledge and understand that we do not do refunds on gym memberships, personal training or group fitness class passes. *no exceptions* *
We would love to know how you heard about our personal training? Were you referred by anyone, please tell us who.
Any additional comments or concerns? Please let us know.
READY? Let's do this!!
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