Member Wellness Consultation

Wellness Consultation

A personal trainer will contact you to schedule your 30 minute session!!

Name:

Date:

Age:

Weight:

Height:

Phone number:

Email address:

Best time to contact:

Preferred days/times for workouts:

Interested in Personal Training?YesNo

Trainer Preference? (Name):

—Please choose an option—Megan StarkKatie JohnsonMatthew MoonLogan Thomas

If you are joining with another person, would you like to do your consultation together?YesNo

Name of other member:

What are your general Health/Fitness Goals?

Lose WeightFirm and ToneImprove Cardiovascular EnduranceImprove Physical StrengthDevelop FlexibilityStress ManagementImprove Sports Related SkillsImprove Eating HabitsHealth Tips that keep you MOTIVATED!

Other:

Health Conditions/Concerns:

Medications:

Exercise History:

Present Exercise: