Form – Trucks and Trainers

Intake Form

Name *

First

Last

Phone Number *

Email *

Date Of Birth *

Gender *

Height *

Weight *

What do you do for a living? *

Do you exercise regularly? *

Please list the physical activities that you participate in outside of the gym and outside of work.: *

Are you a current smoker? *

What following goals does best fit in with your goals? *

How often are you willing to train a week to reach your goal? *

Do you have any existing injuries or conditions that I should be aware of while building your training plan?

At what times during the day would you prefer to train? *

What days of the week are you available to work out? *

What are your expectations on me as your Personal Trainer? *

Name