First and Last
Must be a valid email address
* How do you prefer to be contacted?
* How did you hear about us?
* Do you prefer a male or female trainer?
* Check each box that is true for you
If any of the above health questions were true for you, the Health and Fitness Lab staff requires that you provide a written physician's consent prior to scheduling an appointment.
* Do you smoke, or have you quit smoking within the previous 6 months?
* Do you take prescription medication(s)?
The following questions are fitness specific questions. Please answer with as much detail as possible so we can best pair you with a trainer.
* How would you rate your experience with strength exercises?
* Have you been exercising consistently for the past 3 months?
If you answered YES to the previous question, please answer the next 3 questions.
How often do you take part in physical activity?
Where do you exercise?
If you answered NO to exercising consistently for 3 months, please answer the following question.
Please answer all of the following questions.
* Please check all days/times you would prefer to meet with the trainer.
* How many days per week do you want to work with a trainer?
Thank you for filling out our interest form! Due to our limited number of trainers, we cannot guarantee you a trainer. We will reach out to you in 1-2 business days, but if you have not heard from us, please follow up by emailing firstname.lastname@example.org.
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