Personal TrainingInquiry Name * First Name Last Name Email * Phone Number What is your preferred form of contact? Email Phone Call Text What are your health and fitness goals for hiring a personal trainer? Choose all that apply: Fat loss Gain Muscle Improve general movement Develop strength Hypertrophy Medical referral-injury rehab Develop specific skills If you have specific skills you would like to develop please list them here: What is your injury history-please provide any significant or acute injury history that prohibits movement or causes pain/discomfort Have you worked with other trainers/coaches in the past? What is your level of athletic experience? Mark all that apply: Novice/weekend warrior I exercise only when I have to I don’t exercise at all I exercise 3-5x / week I work out every day I was an athlete in high school or college I am a collegiate athlete Professional athlete What is your athletic activity/sport of choice/focus? Other comments? Don’t be shy... Thank you!