A New Lifestyle awaits you...
 

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If you are asking yourself, "What should I be eating and how should I be exercising?" Well it couldn't be any easier than this! We can offer you the whole fitness picture in one complete package.

Complete these questions and get a customized, timely response from prescreened and member referred Personal Trainers that are interested in working with you. You choose the Personal Trainer that best meets your needs.

You are about to change your life forever. The information you provide in your Personal Profile form will be kept in strictest confidence. Please be specific.

We will contact you in the next 48 hours

Thank you for your consideration 
 


My Fitness Profile
1 of 7- Personal Profile Information [required]
Name:
Address:  
City:
State:
Zip/Post code:  
Phone number & best time to call
E-mail:
Gender Male            Female
Birth Date:  
Weight:
Body fat %:   %
Height:
How did you find us?  
2 of 7 - Which Best Describes Your Individual Needs? [required]
What is that you desire?  
Increase Motivation Decrease Body Fat
Decrease Risk of Injury Increase Muscle & Strength
Increase Energy & Stamina Rehabilitate an Injury
Decrease Stress & Anxiety Accelerate Results
Individualize Course of Action Insure Continual Progress
Insure Accountability Improve Health & Appeal
Improve Existing Training Program Learn & have more... Fun!
Other: 
What services do you want a trainer to provide?  
Diet/Weight Management Fitness Coach
Stress Management Fitness Evaluation
Risk Management Training Program Design
Fitness & Nutrition Counseling Sport-Specific Preparation
Private Training Sessions Injury Recovery
Group Training Sessions Workout Supervision
Prep for a Bodybuilding Show Prep for a Fitness Show
Other: 
How often would you like to meet with your trainer?  
Where would you like to train?  
What time would you like to train?
Do you prefer a male or female trainer?  
Male  Female  No Preference
When would you like to begin training?  
Monthly Investment :  
Additional Details:  
3 of 7 - Body Type.  Which Best Describes You? [required]
I can eat anything I want and I have a hard time gaining weight.
I can lose or gain weight by adjusting my activity level and eating habits.
I find it difficult to lose weight.  I can gain weight easily and have to watch what I eat.
4 of 7 - Health & Medical Conditions [required]
No.  I do not have any medical conditions
Yes.  I have a medical conditions.  I have provided information regarding my condition below.

5 of 7 - Daily Life Questions [required]
What time do you normally wake up?

 

What time do you normally go to bed at night?  
If you smoke, how many years have you smoked?
If you drink alcoholic beverages, what kind and how many per day?
Are you allergic to any types or kinds of foods?  If so, what are they?
Have you ever been placed on any type of nutritional program in the past? Yes            No
If yes, by whom and what did it consist of?
What were your results?
6 of 7 - Weekly Exercise Information [required]
Explain in detail what type of resistance exercises, cardiovascular or sports activities you perform on average during a 7-day period.  Please also provide the frequency and duration of these activities.

Activity

Days

Duration (min):

How would you rate the activity level of your profession, or what you do during the day (non-exercise related).
Sedentary Moderately Active Active Very Active
7 of 7- Food Record [required]
Please describe what you eat on a daily average.  Include portion sizes (e.g., small, medium, large) any drinks or snacks and vitamins or supplements.  Provide as much detail as you like.

Food/Beverage and amount

Time of Day

Make a list of your Favorite Foods: 

Make a list of foods that you dislike: 

Finished! 

Press the Submit button to forward your profile information to one of our  consultants.

            

   
     
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