Group Class & 1:1 Training Application Form

1

What's your full name?

First Name

Last Name

2

What's your phone number? (I will use this number to call you, make sure it is correct)

Please enter a valid phone number.

3

What's the best email to reach you at?* This field is required.

example@example.com

4

In a year from now, what would your dream body look like? (Feel better in my body, lose weight, gain weight, build strength, have bigger glutes, have abs etc)

5

What type of training are you looking for?

In Person Sessions - Location: 119 Richmond Road

Online Training

6

Any medical conditions? (such as diabetes, heart disease, etc..)* This field is required.

YESNO

7

Any past injuries? (ACL injury, shoulder dislocation, lower back injury, knee pain etc..)* This field is required.

YESNO

8

What is your experience with weight lifting?Select the one that best suits you

Beginner (Never weight lifted before)

Intermediate (1-3 years but not sure if i'm doing it correctly)

Advanced (3+ years)

9

What's your weight and height? (put an estimate if you do not know)

10

How often do you currently exercise?

Completely inactive

Once a week

2-3 times a week

4 times or more per week

11

What do you struggle with the most? (can't lose stubborn fat, making time for the gym, gaining weight, losing weight, not knowing where to start...etc)

12

How soon did you want to start?

Right away

Next month

Not sure yet

13

What does your diet currently look like? Describe a typical day of eating.* This field is required.

14

How much are you willing to spend to better your health? * This field is required.

15

Where are you based? (Ottawa, Montreal, New York, Texas etc)

16

What's your phone number? (I will use this number to call you, make sure it is correct)

17

Call bookingPlease choose a time that you will be available for a phone call. Reminder to accept the invite by email to secure the call.