Premiere Team Fitness

First Name *

Last Name *

Email *

Phone *

Age *

31-39

40-55

56-65

Other

What's the big goal? If we're sitting here 12 months from now looking back on our time working together, what would have to have happened over that period of time for you to be absolutely THRILLED with your progress? *

What types of things have you tried to solve this problem in the past? Be as detailed as possible. We want to know everything you've tried so we can make sure you never have to add to that list again 🙂 *

Personal Trainer

24-Hour Gym/Bootcamp Classes

At-Home DVD's and DIY Workouts

Diets/Supplement Programs

I can't remember the last time I did ANYTHING!!!

What's stopped you from solving this yourself? What's are the roadblocks that have kept you from hitting that goal after all this time? (Check all that apply) *

Making Time in my Weekly Schedule

Lack of expert Coaching and Guidance specifically tailored to my needs

Finding a Proper Training Program for my Needs

Lack of Energy

Inconsistency with my Nutrition and Eating Habits

Not feeling comfortable in a fitness setting

All the Above

Does your spouse or significant other support you? (i.e. will they give you a thumbs up on whatever you decide?) *

Yes

No

N/A

With your schedule, what is the most ideal time for you to exercise? Check All That Apply *

Early Morning (before 8am)

Mid-Morning (8:30am-Noon)

Late Afternoon/Evening (after 4pm)

My schedule is rather flexible

Tell Us More About You and Your Goals. How Can We Help You? *

By providing your phone number, you agree to receive text messages from Premiere Personal Training. Message and data rates may apply. Message frequency varies.