Client Form Ready to get started? Fill out some info and I’ll get back to you. Looking forward to working with you! Name * First Name Last Name Current weight * If you aren't sure give an estimate Height * Email * Phone * (###) ### #### Age * What's your birthday? * MM DD YYYY Were you referred? Put the name of the person who referred you to me First Name Last Name How did you hear about me? * What are your fitness goals? * Health (General) Toning & Shaping Stress reduction Weight Loss Posture Injury Recovery Other fitness goals (if not listed above) What days do you wish to exercise? * Monday Tuesday Wednesday Thursday Friday Saturday Sunday Do you exercise regularly? * What gym or equipment do you have access to? * Rate your ability to perform cardio exercises * 1-10 How frequently do you have time to exercise? Do you have any existing injuries or conditions that I should be aware of while building your training plan? * Do you Smoke or drink? * No Yes Any other comments about what you would like to see in your fitness plan? What days do you wish to exercise? * Monday Tuesday Wednesday Thursday Friday Sunday What time would you like to train? * Hour Minute Second AM PM Thank you!
