Name * First Name Last Name What are your goals? * Build muscle Loss body fat Get out of pain Increase athletic performance Become better at a particular sport Recover from an injury or surgery Improve overall health Other, What have you already tried to reach your goals? * Doing it on my own Physical therapy Surgery Other gyms/training methods Dieting Chiropractic Massage Therapy Working with sports-specific coaches Other, What other training programs have you tried? * None, just getting started Yoga/Stretching Weight lifting Cardio Pilates Cross fit Martial Arts (Boxing, MMA, ect) Other, How many days per week would you be willing to commit to coming into the gym to work on your goals? * 1 day/wk 2 days/wk 3 days/wk 4 days/wk Are you willing to make changes in your lifestyle, such as eating healthier, sleeping better and reducing your stress levels? * Yes No What days work best for you to come into the gym? * Monday Tuesday Wedsday Thursday Friday Saturday Sunday What times work best for you to come into the gym during the week? * 6:00am - 8:00am 8:00am - 10:00am 10:00am - 2:00pm 2:00pm - 5:00pm 5:00pm - 7:00pm No weekday availability What times work best for you to come into the gym during the weekend? * 6:00am - 8:00am 8:00am - 10:00am 10:00am - 2:00pm 2:00pm - 5:00pm 5:00pm - 7:00pm No weekend availability Email * Phone * (###) ### #### Thank you!
