- Peak Fitness Training

Name

First

Last

Email *

How did you here about Peak Fitness Training?

Age

Gender

Male
Female

Which coaching service are you interested in?

Running Coach
Personal Training

What are your top 1-2 goals you want to achieve?

Do you have any races or events you would like to train for?

Running or fitness interest (click all that apply)

Have you used a running coach or personal trainer before?

Yes
No

If yes, how long and what did you like or dislike?

Are you struggling with any injuries at the moment?

Have you had any major injuries in the last year? If yes, please explain.

Has your doctor ever said that you have a heart condition and that you should only perform physical activity recommended by a doctor?

Yes
No

Do you feel pain in your chest when you perform physical activity?

Yes
No

In the past month, have you had chest pain when you were not performing any physical activity?

Yes
No

Do you lose your balance because of dizziness or do you ever lose consciousness?

Yes
No

Is your doctor currently prescribing any medication for your blood pressure or for a heart condition?

Yes
No

Personal training clients - I DO NOT focus on weight loss. My personal training coaching service focus on your strength gains, overall health and getting you to feel and move better. Is this a problem for you?

Are you willing to put forth the time and effort to reach your goals?

Coaching is a two way relationship. I want to create a lasting and good relationship with all my clients. Disappointment is almost always a matter missed expectations, so it's critical that you are as upfront and honest about what you're looking for. Tell me everything you're looking for in a coach, so I can be honest about what I'm able and willing to deliver.

Any additional comments you would like me to know

-New Clients Interested In Training With Me-