Personal Training Form
Please note: I do not take on anyone and everyone on for 1-1 training due to spaces. It's also important that we are a great fit for each other- that you like me and I like you - because I work closely with all of my clients- I hope this makes sense!
Email address *
Contact number *
Your answer
How would you like to be contacted? *
Personal Details
First and Last Name *
Your answer
Date of Birth *
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Where are you based? (Poole/Wimborne/Bournemouth etc?) *
Your answer
What's your main goal? *
(If wanting to select more than one, select the one that is most important to you right now)
Are you serious and committed to achieving your goals? *
Is this a 'do it now thing' or 'do it later thing'? *
What are your expectations? *
Your answer
Do you have a specific time frame? *
Your answer
How would you describe your training abilities *
Have you had a Personal Trainer before? *
Are you a member at a gym? *
Do you have an idea of how many sessions you'd like with me per week? (Consider goals and budget) *
Your answer
Would you be interested in small group classes/semi-private group personal training? *
Do you have (or had) any injuries or conditions that may be affected by exercise or may affect exercising? If yes please describe *
Your answer
Please note that if you begin Personal Training with me I will require you to fill out a more specific health from you to get started!
Date *
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DD
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Thankyou for completing. Please allow at least one working day for a response.
Emma Haymes Personal Trainer

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