Personal Training Client Intake Form
Congratulations on taking the first step to your new fitness routine and a healthier you!
In order to match you with one of our qualified Personal Trainers, please fill out the survey below.
Name: *
Your answer
Age:
Your answer
The best contact method for me is: (email, text, phone) *
Your answer
How active are you during the day, at work or in your normal routine?
Stationary, little activity
Very active, lifting and moving
What is your lifestyle?
Sedentary
Very Active
How many days a week do you currently exercise?
Zero planned exercise
Exercising 7 days a week
Have you ever worked with a Personal Trainer before?
How many days a week would you like to work with a Trainer?
1 day/wk
4 days/wk
How much time would you like to devote to your training session?
What days are you current available for training?
What time of day do you prefer?
Do you have a preference in type of trainer?
Where would you like to see the most results?
What are your areas of interest?
Why do you think you are not currently not seeing your desired results?
Is there anything else we should know about you?
Your answer
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