top of page
Home
Nutrition
1:1 Personal Training Inquiry
Group Strength Training
Contact
Personal Training Application Form
First name
Email
Phone
Address
What do you hope to achieve by working together?
Improve Strength and Fitness
Accountability
Weight loss
Injury prevention/rehabilitation
Nutritional Information
Improve flexibility and mobility
Do you have any previous or recent, chronic injuries or areas of concern?
*
Tell me about your exercise history. Have you previously used dumbells, attended fitness classes or participated in any sports?
How would you rate your current fitness level?
How much sleep do you get per night?
*
3-4 hours
5-6 hours
7+ hours
Do you have energy slumps throughout the day?
*
Never
Occasionally
Consistently
What activities do you enjoy?
*
What days and times suit your availability for personal training?
*
Is there anything in particular you would like to discuss in our initial, no- obligation consultation?
Submit
bottom of page
