Complimentary Consultation

If you are interested in receiving a complimentary consultation please complete and submit the following questionnaire. If you have general questions regarding my training services please contact me via e-mail at coachjoecpt@hotmail.com or by phone at 720.233.4957.

All fields are required unless otherwise indicated.

Name

Address

Phone

Date of Birth

Are you currently under the care of a doctor?

Yes No

Has your doctor ever said that you have a medical condition in which you should only do physical activity recommended by a doctor?

Do you have any exercise restrictions due to physical or medical reasons?

Do you currently workout on a regular basis? How often?

Do you smoke?

Yes No

Have you ever worked with a personal trainer before?

What are your top three fitness goals?

What is your available time and frequency for training?

Additional information you would like to provide regarding your fitness status, challenges, or goals.
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