Interest Form | TheFirstLaw Fitness

First name

Last name

Email

Phone

Birthday

Month

Day

Year

Goals

Balance and Stability

General Strength and Endurance

Grow Muscles or Bodybuilding

Maximum Strength - Lift as much as you can

Become Powerful - Speed and Strength

Better nutrition habits and fat loss

What level of experience do you have with working out

None

Some

A lot

What daily activities do you do? (Gardening/ biking/painting/housekeeping/stairclimbing)

What level of involvement would an ideal fitness instructor have in your fitness program?

Do you smoke? If yes, how much and often?

Do you drink alcohol? How much/often?

What worked and what didn't work in previous exercise program attempts?

How willing are you to stay consistent when you are on your own?

What do you think is the most important thing your personal trainer can do to help you achieve your fitness goals?

Feel Free to add any details that you feel are pertinent to your lifestyle or to the type of personal training experience you would like to have.