Facebook Pixel WKU Personal Training Interest Form | Western Kentucky University
  1. WKU
  2. Campus Recreation & Wellness
  3. Health & Fitness Lab

Personal Training Interest Form

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 christina.sorentino@wku.edu.


 

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 Last Modified 7/22/21