EmailMeForm
Personal Training Consultation
Please complete the form to schedule your free consultation.
Email
*
Confirm
First Name
*
Last Name
*
Mobile Phone
###
-
###
-
####
Preferred method of communications. (Choose all that apply)
Phone Call
Email
IM
What benefits of exercise are you most interested in?
Controlling, reducing and/or managing weight.
Reduce your risk of heart disease
Strengthen your bones and muscles
Help your body manage blood sugar and insulin levels
Help you quit smoking
Improve your mental health
Stay committed to exercise
Keep your thinking, learning, and judgement skills sharp
Reduce your risk of some cancers
Strengthen your immune system
Reduce your risk of injury
Recover from past injuries
Improve your sleep
Make exercise more fun
Improve your sexual health
Be active with friends and/or family
Find activities that you can do outside of the fitness center
Increase Muscle Mass
Other
Check all that apply
What is/are your general goal(s)?
On a scale of 1-5, how important is it to achieve your fitness goals?
Please select
1
2
3
4
5
Any pre-existing conditions?
Heart Attack
Stroke
Diabetes
High Blood Pressure
Respiratory Conditions
Other
Orthopedic Injuries or Limitations?
