Molly Mangan
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Personal Training Interest Form
Let’s accomplish your fitness goals together.
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Thank you for your response. ✨
First Name
(required)
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Last Name
(required)
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Email
(required)
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Phone number
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Date of Birth (YYYY-MM-DD)
(required)
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Gender
(required)
Select one option
Male
Female
Other
Prefer not to say
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Height
(required)
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Weight
(required)
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What are you hoping personal training will help you with most right now?
(required)
Building muscle / getting stronger
Fat loss / body recomposition
Athletic performance
Improving form and preventing injury
Creating a consistent workout routine
Accountability and motivation
Learning how to train properly
Other
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If other, please explain:
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What’s your biggest
struggle with fitness right now?
(required)
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Have you worked with a personal trainer before?
(required)
Select one option
Yes – loved it
Yes – didn't love it
No – this would be my first time
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What is your current activity level?
(required)
Not currently working out
1-2 days per week
2-3 days per week
3-4 days per week
4-5 days per week
5+ days per week
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Do you have any injuries or physical limitations?
(required)
Yes
No
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If yes, what are they?
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How soon are you looking to start?
(required)
Select one option
ASAP
Within the next 2 weeks
Just looking around
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Why is
now
important for you to make this change?
(required)
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On a scale of 1–10, how committed are you to improving your fitness?
(required)
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Any other information or questions for me?
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