New Clients - Vicki Diaz Fitness

Contact Information

Name*

Email*

Phone*

Name

Phone

Relation to you

Age

Height

Weight

What are your fitness goals?

List goals here

Are you interested in:

Are you interested in competing? If so, which division?

Do you prefer to workout at home or gym?

How many times per week do you train?

On a scale of 1-5, 5 being “excellent”, how do you rate your nutrition and eating habits?

What is your current cardio routine? Type, frequency and duration?

Why are you interested in working with a trainer?

Do you have any injuries or existing conditions that affect your ability to exercise?

What obstacles potentially keep you sticking to your fitness routine?

Have you worked with a trainer before? If so, what did you feel helped you be successful?

What motivates you?

Anything else you’d like to include?

Agree to Training Contract and Waiver*

Comments

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