Personal Training Intake Form
SAM TARDIF PERSONAL TRAINING
Please enter a valid phone number.
What are you looking to achieve (click all that are applicable)
Tone/ Build Definition
Improve Mobility/ Flexibility
Become Pain Free
What are your current lifestyle goals?
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
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?
Should be Empty: