Confirm Full Name
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First Name
Last Name
Confirm Email Address
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Tell us what you would like to accomplish:
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Give us as much info as you see fit, the more we know, the more we can individualize your program!
Available Equipment:
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In addition to bodyweight exercises, I have access to:
Resistance Bands with Handles
Booty Bands
Dumbbells
Suspension Straps (TRX or Similar)
What experience do you have with weight training?
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How long would you like your workouts to be?
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30-45min
45-60min
60-90min
90-120min
What days of the week would you like to exercise?
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Select each day you like us to assign a workout for, Days you don't select will be rest days.
For small goals or maintenance, select at least 3 days
For large goals, select 4-6 days
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Trainer Recommendation
On a scale of 1-10, how motivated are you?
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1
2
3
4
5
6
7
8
9
10 (Wow!)
For any answer other than a 10, what is holding you back?
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Medical Conditions
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Check the box if you would answer yes to any of these questions:
Has your doctor ever said that you have a heart condition and that you should only perform physical activity recommended by a doctor?
Do you feel pain in your chest when you perform physical activity?
In the past month, have you had chest pain when you were not performing any physical activity?
Do you lose your balance because of dizziness or do you ever lose consciousness?
Do you have a bone or joint problem that could be made worse by a change in your physical activity?
Is your doctor currently prescribing any medication for your blood pressure or for a heart attack?
Do you know of any other reason why you should not engage in physical activity?
High Blood Pressure?
Diabetes?
Arthritis?
Asthma?
Back Pain?
Knee Pain?
Shoulder Pain?
Depression?
None of the Above
If you answered YES to any of the above please answer the following:
Check the box for Yes
Leave blank for No
Skip If you did not answer Yes to any of the questions in the previous section
Have you consulted your physician regarding increasing your physical activity and/or performing a fitness assessment?
If you answered NO to the above question, will you consult your physician prior to increasing your physical activity and/or performing a fitness assessment?
Add any additional notes about your medical conditions here:
Preferred myFIT Trainer
No Preferance
Marina Delgadillo
David Lacayo
Logan Torres