Personal Training Intake Form
SAM TARDIF PERSONAL TRAINING
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
What are you looking to achieve (click all that are applicable)
Weight Loss
Build Muscle
Tone/ Build Definition
Improve Mobility/ Flexibility
Become Pain Free
Skill Development
Improve Performance
What are your current lifestyle goals?
Increased Energy
Improved Nutrition
Decreased Stress
Improved Sleep
Develop a Consistent Exercise Routine
Increased Mental Clarity
What are your top 3 fitness goals? Why are these goals important to you?
What type of service are you searching for?
1-on-1 Personal Training
Semi-Private Training
Remote/Online Coaching
How many time a week are you looking to train?
1 time per week
2 times per week
3 times per week
4 times per week
5 times per week
6 times per week
Do you have any injuries? If yes what are they? Do they still cause you pain when exercising?
What are your expectations of me as your coach?
Submit
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