Name

Email

Phone Number

What are your fitness goals? Build muscleImprove aerobic enduranceLose fatImprove overall healthLose weightImprove postureReduce stressIncrease strengthIncreased energyOther

How important are these goals to you on a scale of 1-10? 12345678910

Have you ever worked with a trainer before? YesNo

If not, please describe your previous experience (if any) with lifting free weights and using proper technique