HEALTH & FITNESS ASSESSMENT

Please fill out the form below to schedule a FREE fitness assessment with a personal trainer! Once submitted, expect to hear back within 3 business days.

PERSONAL TRAINING ASSESSMENT FORM

First Name

Last Name

Phone

Birthday

Month

Day

Year

Height

Weight

Resting Heart Rate

Check the services that you are interested in learning more about:

Personal Training (1-on-1)

Private Group Training

Online & In-Person Programs

On-Your-Own Fitness Programs

Nutrition Coaching & Planning

Group Fitness Classes

24/7 Access

Check all that apply in regards to your experience with fitness training & equipment:

Weight Lifting

HIIT or TABATA

Group Fitness Classes

Pilates or Yoga

Spin or Cycling

Resistance Training

Cardiovascular Fitness

Endurance Training

Treadmills & Ellipticals

Barbells

Dumbbells

Kettlebells

Resistance Bands

Check all that apply in regards to your health & fitness goals:

Fat/Weight Loss

Muscle Growth

Strength Gains

Improve Energy

Lower Blood Pressure

Improve Heart Health

Improve Overall Health

Improve Confidence

Reduce Stress

Start a Routine

Maintenance

Have you ever worked with a health and fitness professional or been a member of a gym in the past? If yes, please describe your experience.

Do you have any limitations or past injuries we should know about? If yes, please list & describe.

What is your availability? Please be as specific as possible.

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