Personal Training - Initial Consultation SurveyPersonal Training

1. Please provide your FIRST NAME and the e-mail address or phone number that you can most easily be contacted at (If a phone number, also include best day/time to call):

Please provide your FIRST NAME and the e-mail address or phone number that you can most easily be contacted at (If a phone number, also include best day/time to call):

2. Have you worked with a personal trainer before?

Have you worked with a personal trainer before? Yes

Other (please specify)

3. Why are you looking to work with a personal trainer?

Why are you looking to work with a personal trainer?

4. How often would you like to meet with your trainer each week? (If you are not sure yet, you may note this).

How often would you like to meet with your trainer each week? (If you are not sure yet, you may note this).

5. On what days and times would you like to work with your trainer?(If flexible, please note)

On what days and times would you like to work with your trainer?(If flexible, please note)

6. How soon can you begin working with a personal trainer?

How soon can you begin working with a personal trainer?

7. Where will you need to meet to train?

Where will you need to meet to train? My home

Trainer's gym

My gym

Other (please specify)

8. How far are you from Memorial Park?

How far are you from Memorial Park? 0-15 mins

20-30 mins

Greater than 30 mins

9. How will you know if you want to work with a personal trainer if you haven't met them? (I have no idea!)

I provide a FREE 15-30 min initial consultation (over a cup of coffee-no workout clothes needed yet!) so that we can go over your goals in person and in greater detail. This way you can get a better feeling for whether or not I will be a good fit for you. Please submit THREE dates and times that would be best for you to meet (list preferred option first).

How will you know if you want to work with a personal trainer if you haven't met them? (I have no idea!) I provide a FREE 15-30 min initial consultation (over a cup of coffee-no workout clothes needed yet!) so that we can go over your goals in person and in greater detail. This way you can get a better feeling for whether or not I will be a good fit for you. Please submit THREE dates and times that would be best for you to meet (list preferred option first).

10. Do you have any concerns that you want to discuss in more detail at your initial consultation? (Include medications, health issues, age-related issues, life style concerns, etc. in this section OR write NONE)

Do you have any concerns that you want to discuss in more detail at your initial consultation? (Include medications, health issues, age-related issues, life style concerns, etc. in this section OR write NONE)