Name *

First Name

Last Name

Phone *

(###)

###

####

Are you currently working out?

Yes I am currently working out and following a program.

Yes I am currently working out but have no idea what I am doing.

No I am not currently working out and am brand new.

No I am not currently working out but I have in the past.

Training Goal

Lose Weight

Build Strength/Muscle

Increase Mobility/Flexibility

Build Confidence

Sports Specific

Training for Hyrox, Spartan, Tough Mudder, triathlon, etc.

Have you ever worked with a personal trainer before?

Yes

No

What availability works best for you to meet with your personal trainer?

Early Morning (5am-7am)

Mid Morning (7am-11am)

Afternoon (12pm-4pm)

Night (4pm-9pm)

Do you have a preference of a male or female trainer?

Male

Female

I don't have a preference.

What are some things that have prevented you from achieving your goals in the past?

Nutrition

Accountability

Motivation

Intensity

Knowledge

Time

Lack of results so I gave up