Premier Personal Training
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What time(s) of day works best for your workouts?
Early morning (before 8 a.m.)
Late morning (8-11 a.m.)
Lunchtime
Early afternoon (1-3 p.m.)
Late afternoon (3-5 p.m.)
Evening (after 5 p.m.)
What day/date would you prefer to schedule your consultation?
Do you have a preference for a specific trainer, male/female, etc?
N/A Male Female Specific Trainer Select trainer Rachel Larson John Shillcox Renee Oxford Nathan Hartwig
Are you interested in having a BodyAge assessment done?
Yes No Not Sure
Are you interested in meeting with our Registered Dietitian?
What are your primary health and fitness objectives?
Reduce bodyweight/bodyfat
Increase strength
Improve cardiovascular endurance
Muscle toning
Increase energy
Injury rehabilitation
Decrease stress
Increase muscle mass
Increase flexibility
Sport conditioning (indicate below)
Other Objectives
Questions and
Comments
3100 Woodbury Drive, Suite 200, Woodbury, MN 55129 (651) 735-9653 info@premier-fitness.com