your best life starts today PERSONAL TRAINING INQUIRY FORM Personal Training Mode * In-Person Virtual Hybrid Name * First Name Last Name Email * Confirm Email * Date of Birth * MM DD YYYY Phone * (###) ### #### Preferred Method of Contact * Phone Email Preferred Type of Training * Check all that apply Personal (1:1) Tandem (You and a Partner/Friend) Small Group (You and 4-5 Friends/Family) Do you have a preferred trainer? First Name Last Name Do you currently perform any type of physical activity? * Yes No If so, how often? 1 Time/Week 2-3 Times/Week 4-5 Times/Week Daily What does your physical activity currently consist of? * How many days per week are you interested in training? * Once Twice Three times or more What time of day are you most interested in training? * Check all that apply 5-8A 9A-12P 1-4P 5-8P Weekends What are your health and fitness goals? * Check all that apply Select All Weight Loss Improve Cardiovascular Wellness Increase Strength Increase Flexibility Improve Balance Accountability Stress Management Increase Energy Enhance Athletic Performance Other Do you have any injuries or health concerns that we should be aware of? If so, please include info below. * * If not, please enter N/A. Are there any additional comments you would like to share? Thank you for your inquiry! Someone from our team will be in touch shortly.
