Midlife Fitness Online Personal Training Application

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"Why am I filling out an application to train?" I want to make sure that we are a good fit for me to help you achieve your health and fitness goals. Your success is my success! The information provided is used by me to determine your health and fitness goals and motivation. I will not share your responses with anyone.

Name *

Age *

Gender

Female

Male

Other

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Address

Phone number *

What's your preferred method of contact? *

phone call

text

Required

What is your favorite movie?

Do you have any health concerns or restrictions that I need to be aware of? *

What are your health and fitness goals? *

General health

Gain muscle/strength

Lose body fat

Athletic Performance

Compete in Bodybuilding or Physique show

To become Batman

How committed are you in achieving your fitness goals? *

Just exploring options, not sure how committed I am at this time.

Ready to make some changes, as long as it doesn't disrupt my routine too much.

I want to be generally healthy and live my best life.

I want to be in the best shape of my life and live at the gym if that's what it takes!

Have you ever had a trainer or nutrition coach before? Describe your experience. *

Are you willing to invest approximately the cost of a Chipotle burrito with a side of chips and guac a day to your health and fitness? *

Heck yes! I'm ready to crush this and make some lasting changes!

I'm hesitant, but I'm open to talking with you about options.

I'm not ready to commit to becoming healthier at this time.

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