Personal Fitness Workout - Fitness Assessment

Getting Started with Personal training

First name

Last name

Primary phone

EXT (Optional)

Age (Optional)

Gender (Optional)

Height (Optional)

Weight (in pounds) (Optional)

What are you trying to achieve with this program? What are your fitness goals? (Optional)

Have you ever worked with a personal trainer before?

Do you currently have any restrictions or injuries?

I consent to receive text messages regarding offers, discounts, and/or any marketing, products, services and/or promotions from or on behalf of LR at the telephone number provided above, including text messages and/or telephone calls transmitted via an automatic telephone dialing system or predictive dial, artificial or prerecorded voice or other automated technology even if I am on a national or state “Do Not Call” list. I understand and agree that my consent is not a condition of purchasing any good or service from LR.

* Health: Overall Health and Wellness. (ex: Strength building, weight loss, flexibility) Elevation: For the gym savvy member and want to break your everyday routine. Recovery: Overcoming injury or restarting your fitness journey. Victory: Getting ready for a specific event or milestone. (ex: marathon)