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Apply for Online Personal Training 

This application is simply the first step. It allows me to learn more about you, your goals, and your current routine so I can see how I can best support you. There is no commitment by submitting this form. Once received, I will review your application and be in touch with next steps.

Contact Info

Preferred Method of Contact
Call
Text
Email

Goals

What are your current goals? (Check all that apply)

Equipment

What equipment do you have access to? (Check all that apply)

Fitness Background

How would you describe your current fitness level?
Beginner
Intermediate
Advanced
How often do you workout?
Never
1-2 times/week
3-5 times/week
More than 5 times/week
Have you ever worked with a trainer in person?
Yes
No
Have you ever worked with a trainer online?
Yes
No

Coaching Expectations

Are you comfortable logging workouts in Google Docs?
Yes
No
Are you open to weekly check-ins and accountability support?
Yes
No

Health and Safety

Do you have any injuries, medical conditions, or limitations I should be aware of?
Yes
No
Are you currently cleared by your doctor for exercise?
Yes
No

Commitment and Lifestyle

How confident are you in following a structured program on your own?
Not confident at all
Somewhat confident
Confident
Very Confident
How committed are you to making changes over the next 3 months?
Not very committed right now
Somewhat committed
Fully committed and ready to go all in
If you don’t feel motivated, what typically happens?
I still show up and do it anyway
I struggle but usually push through
I stop completely until I feel motivated again
Are you willing to follow a structured program even on days you don’t feel like it?
Yes
No
I'm not sure
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