Fitness Center Consultation Form
Fitness Center Consultation Form
Please fill out the following information to help us understand your fitness goals and needs better. Your responses will be kept confidential.
Personal Information
Name
Age
Gender
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Male
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Female
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Please provide your email address.
Phone Number
Health Information
Do you have any medical conditions?
If yes, please specify
Are you currently taking any medications?
If yes, please list
Fitness Goals
What are your primary fitness goals?
Check all that apply
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Weight loss
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Strength training
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Improve flexibility
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Increase endurance
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How often do you currently exercise?
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Never
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1-2 times a week
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3-4 times a week
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5 or more times a week
Additional Comments
Thank you for your time!
We look forward to helping you achieve your fitness goals.
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