PERSONALIZED SERVICES CONSULTATION FORM Question Title * 1. Please select one... Fitness Assessment Pilates Reformer Nutrition Counselling Personal Training - # of sessions Question Title * 2. Personal Information First Name Last Name Date of Birth (YYYY/MM/DD) Question Title * 3. Contact Information Address City / Town State / Province ZIP / Postal Code Country Email Phone Question Title * 4. Preferred Session Time(s)... Question Title * 5. Are you a member? Yes No Question Title * 6. What would you like to discuss (i.e. goals)? Question Title * 7. Are you currently physically active? Please explain: Question Title * 8. Do you have a preferred trainer? CANCELLATION POLICY With less than 24 hours notice, you will be charged for your missed appointment. It is your responsibility to contact your personal trainer directly to cancel the appointment and reschedule. PLEASE NOTE - All packages and gift certificates must be used within one year from the purchase date.*Require an answer to the question Next