SCHEDULE YOUR GOAL ASSESSMENT

We'd like to know more about your fitness goals, please take the time to fill in the form below before scheduling your Goal Assessment with a personal trainer. Each piece of data is important, so be as accurate as possible when completing the form. Don't forget to tell us your story at the end!

full name

Phone

Address

Apt

City

State

Zip

Gender

Date of Birth

Emergency Contact

Weight (in pounds)

Height: Feet

Height: Inches

Body Fat Percentage

Date Last Recorded

Current Activity Level (past 3 months)

Primary Goal

Secondary Goal

Tell us your story

What type of personal training do you prefer?

How did your hear about us?

Certification of Accuracy

I certify that all representations made above are true to the best of my knowledge