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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?

Yes  No Not Sure         

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