PERSONAL TRAINING / SMALL GROUP PT / NUTRITION APPLICATION Date MM DD YYYY Name * First Name Last Name Phone * (###) ### #### Email * Current Age * Current Weight * Current Height * Personal Training, Small Group PT or Nutrition Coaching Desired * Personal Training Small Group Personal Training Nutrition Coaching Location Desired * Silver Lake Lincoln Park San Diego Geneseo Gold Coast Coach Desired Have you reviewed our pricing for either personal training and/or nutrition coaching to ensure it aligns with your budget? Yes No Desired Per Session Budget or Range * What are your overall current fitness, health, and nutrition goals? * What is your current fitness program or routine? * What does your current diet/nutrition lifestyle look like? * Any current injuries or conditions your trainer should be aware of? * What are your preferred training day or days? Monday Tuesday Wednesday Thursday Friday Saturday Sunday What are your preferred training times? 5a-8a 9a-12p 12p-3p 3p-6p 7p-10p How frequently do you want to train each week? 1 2 3 4 5 What date would you want to begin? * Thank you!
