Personal Trainer Booking | The Sanctuary Wellness Institute

First Name*:

Last Name*:

Email*:

Phone Number*:

Date of Birth*:

Age*:

Height*:

Weight*:

Gender*: Male Female

What is your occupation?*:

List physical activities participated in currently outside of exercise/gym*:

What is your current activity level?*:

Please list any diagnosed health conditions*:

Please list any previous or current injuries*:

Please list any current medications*:

Do you smoke?*:

Do you drink alcohol?*:

How many meals do you eat in a day?*:

Do you currently or previously track food?*:

Please describe your current diet*:

If other, please describe:

Please describe your training goals*:

Do you currently exercise?*:

Do you have access to a gym?*:

Have you worked with a trainer before?*:

What current exercise equipment do you have access to?*:

Please select the days best for training in your current schedule*:

What are the best times of day for training in your schedule?*:

How often per week do you want to train?*:

What day and time would work best for your initial appointment to be scheduled?*:

Personal Trainer Free Consultation Booking