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New Face to Face Client intake form

Seeking guidance and structure in your training?
After a program revamp?
Needing a form check?
Not motivated to train and need the extra accountability?

Apply below for a 1on1 Coaching position.
Sessions will take place at Anytime Fitness Taree and The Factory 

Experience in the fitness industry for 6 years, working with men and women of all ages, fitness levels and different goals. Having worked with clients in group fitness classes, group PT sessions, bootcamps, 1on1 sessions and buddy sessions. I'm ready to help you achieve the goals you're chasing.

Let's start with the basics.

What is your first and last name?

Gender:

Gender:
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When is your birthday?

What is your phone number?

What is your email address?

Let's dive deeper.

What are your goals?

What are your goals?

List your top 3 concerns you have about your health, eating habits, fitness, and/or body.

Why did you choose those 3?

What are you willing to work on to reach your goals?

What aren't your willing to do to reach your goals?

What are the top 3 goals you wish to achieve?

Please list all of the obstacles you feel like you're facing when it comes to achieving your goals?

What kind of exercise do you currently do and how often?

What, if any, specific health concerns, such as illnesses, pain, and/or injuries do you have?

Have you worked with a Personal Trainer before?

How long have you been thinking about working with a Personal Trainer?

Days/Times you prefer:

On a scale of 1-10, how would you rate your experience with training?

0 being just starting, no experience and 10 being very experienced, training for years
On a scale of 1-10, how would you rate your experience with training?

Any questions you might have?

Disclaimer

Any cancellations made within 24 hours of the session commencing, half of the session cost will still be charged ($37.50 for a 1 hour session)
Any cancellations made within 12 hours of the session commencing, the full session fee will be charged ($75 for a 1 hour session)
By clicking the yes button below, you're agreeing to the disclaimer and that all of the information you've provided above is accurate and up to date to the best of your knowledge.
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