Personal training pre-screen
Indicates required field
Current Height & Weight
Age & Marital Status
Monday (early morning)
Tuesday (early morning)
Wednesday (early morning)
Thursday (early morning)
Friday (early morning)
Early morning (5:30 am - 11:00 am); Afternoon (12:00 pm - 3:00 pm)
Do you have children?
Are you currently pregnant?
Do you drink alcohol?
Do you smoke?
Are you sexually active?
Do you have a diagnosed mental health disorder?
Are you employed?
Do you feel fulfilled in life?
Answers are optional. Please answer only what you feel comfortable with. A non-check does not confirm a "yes" or "no".
What medications (if any) are you currently taking, and for what ailment?
Please list any medical issues, personal issues, or related that may impact your performance and commitment.
Tell us a little about yourself and what you are looking to achieve.
"In the world you shall face tribulation, but be of good cheer; I have overcome the world."- John 16:33
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