Personal Training Inquiry

ONE-ON-ONE Questionaire

Welcome to our free personal training service. Simply fill out the training form below and submit it to us. You will be assigned to one of our personal trainers who will help you to design appropriate training, diet and nutritional plans. Our service can be general or very specific depending on your individual needs. Over half of the people using the service trade email with their personal trainers three or more times weekly.
Kindly fill out the following background questionaire and submit the form to register for this service.

exclamation pointPlease be sure to put your correct EMAIL address in the space provided. It is unfortunate how many people write to us, but we can not get back to them due to incorrect information. It is impossible to respond to incorrect e-mail addresses.

Name:
E-Mail Address:
Please Repeat E-Mail Address:
Age:
Sex:
Height: feet inches
Weight
Percent body fat: percent
...or a brief description of your physique:
Type of exercise you are currently involved in:
...or one we haven't listed:
Number of days per week you do this exercise:
Amount of experience in this form of exercise:
Specific goals you think you need to accomplish:
How do you feel in general:
Any medical problems or limiting injuries: No Yes
...if so, what type:
What types of food do you currently eat:
Do you currently take any type of vitamin or nutritional supplements: No Yes
...if yes, what do you take:
Any general comments that you think would give us a better idea of you, your training or your goals:
How did you learn about Betterbodz?(required)

Thanks, now all you have to do is click on the "Send To Trainers" button below to send us your completed form. Or, if you would like to start over, click on the "Start Over" buttom to erase all your answers and begin again. Thank You.