CONSULTATION

I am excited to speak with you about beginning your fitness journey with PG Strength Club! Please fill out a few questions to help us get an idea of who you are and what your needs are and I'll be in touch shortly.

Tell me a little about yourself

First name

Last name

Preferred Pronouns

Phone

Zip Code

Birthday

Month

Day

Year

How did you hear about PG Strength Club?

How many sessions per week are you likely to attend?

What type of training are you interested in? (you may choose more than one)

Private Training

Small Group Training

Workout Programming

What are the days/ times that you are most available to fit a workout schedule into your lifestyle?

What is your history with exercise/ fitness/ personal training? (Please include if you currently belong to a gym)

ex. sports in high school, crossfit, not sure, worked with PT before...

What is your primary fitness goal at this time?

ex. build muscle, ease low back pain, lose weight, improve cardio capacity, prepare physically for child birth, rebuild core after childbirth, etc.

Do you have any pains/ injuries/ illnesses?

ex. foot surgery, extreme low back pain from job, diabetes, etc.