Personal Training Interest Form
Please fill out the following survey in order to be matched to a trainer and receive a FREE consultation. Please note that personal training is only available to current Rec Center members. All consultations include a 30 minute zoom meeting to discuss your new client paperwork and goals. From here you can decide to purchase sessions on our online member portal or in person at the Member Services desk.
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Are you a current member of the PSU Rec Center? (NOTE: PT services are only available to current Campus Rec members.) *
Are you interested in personal training in-person from the Rec Center or virtually via Zoom? *
Full Name *
Birth Date
MM
/
DD
/
YYYY
Email *
Phone Number *
Preferred Method Of Communication *
What is the best way to reach you?
Do you prefer working with a male or female trainer? *
Do you have a specific preferred trainer? If yes, enter their name below:
How hard would you like your trainer to push you? *
1= not very hard    5= very hard
Required
What is your primary fitness goal? *
Required
Please expand on this goal. Why is it important to you?
How many sessions per week are you interested in working with a trainer? *
What days and time are you available for training? *
Please be specific (ex MWF 3:00-5:00 PM). The greater availability, the more options you have.
Do you have any medical conditions such as asthma, epilepsy, heart arrhythmia, high blood pressure, or high cholesterol that could affect exercise? *
You may be required to get medical clearance before your first workout with your trainer.
Please list any additional comments, accommodations, or information.
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