Training Form

Personal Training Form

First Name

Last Name

Birth Month

Birth Day

Birth Year

Phone Number

What do you do for a living?

Please list the physical activities that you participate in outside of the gym/outside of work:

Do you have any injuries? If yes, please list them:

Do you have any medical conditions that we should be aware of?

Are you cleared by a physician to exercise?

Yes No

What are your current health goals?

What is your timeline to reach your goals?

Do you have a preference in a male or female trainer?

Male Female Doesn't Matter

How long do you want to train for?

How many days a week do you want to train?

What day/times are you available for training?

How soon do you want to get started?

Which MOTION location are you interested in?