For quick questions
Email me now
. For all new clients please use the form below.
Your Contact Details
Name
*
Email
*
Phone #
The following questions will help me better understand your needs when we speak further about your Health & Fitness goals.
How many days a week can you commit?
1-2
3-4
5-6
How much time each session?
1/2 - 1 Hour
2 Hour
3 Hour
Are you physically active now?
Yes
No
Do you belong to a health club?
Yes
No
Have you ever had a personal trainer?
Yes
No
What's your age?
What's your height?
What's your weight?
What's your waist?
Reasons for starting
Physician advised
Resolution to get in shape
Train for an event
Feel better
Look better
How did you find us?
Link from another web site
Google
Yahoo.com
Other search engine
Post card
Newsprint
Referred
What are your goals?
Flexibility
Build
Tone
Strength
Sports improvement
Endurance
Have you been diagnosed with a Heart Condition?
Yes
No
Have you or do you ever feel Faint or Dizzy?
Yes
No
Have you ever-experienced Pain in your Chest?
Yes
No
Do you or have you ever had High Blood Pressure?
Yes
No
Do you or have you ever had High Cholesterol?
Yes
No
Do you suffer from Allergies or Asthma?
Yes
No
'Have you ever had any Bone or Joint problems?
Yes
No
Are you taking any Medication?
Yes
No
Is there anything else I should know, or that you would like to add?
Chicago Personal Trainer
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Personal Trainer Chicago
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Chicago Body Trainer
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Chicago Personal Body Trainer
Please visit our
Fitness Resource Partners
for advice tips and help for all physical fitness needs.
© 2005, Fitness For All by John Turk
Chicago Personal Trainer
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