Personal Training Application
Please take your time to fill out this application so I can know more about your health and wellness goals.
First name
Last name
Email
Phone Number
Date of birth
Height
Weight
What do you do for a living?
Please list the physical activity you do currently, how often and for how long
Do you have any diagnosed health conditions?
Do you have any injuries?
Are you currently taking any medication?
Your current diet could be described as?
Select an option
low-fat
low-carb
high-protein
vegetarian /vegan
no special diet
other...
If you chose other, please explain.
Do you have any dietary restrictions?
What following goals best fits in with your goals
Improved health
Improved endurance
Increased strength
Increased muscle mass
Fat loss
other
If other, please explain
Are you willing to commit to 3 months of training?
What Are you interested in?
Select an option
In person (Motivative Fitness - Langford)
In person (Forge Fitness - Downtown)
Online Fitness & Nutrition coaching
Blended (Motivative Fitness - Langford + Online)
Blended (Forge Fitness - Langford + Online)
How many many sessions are you interested in/week?
What are your expectations for me as your personal trainer?
Do you feel like there is anything else I need to know?
How did you hear about us?
Friends
Social Media
Other
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