Please note that all fields followed by an asterisk must be filled in. What is your Top Fitness & Health Goal?*
What is your Top Fitness & Health Goal?*
---Select--- \nLose Weight & Reduce My Body Fat %
Build, Tone & Tighten My Muscles
Build a Nutrition & Health Plan
Improve My Sports Performance
Rehabilitate My Current Injury
How often would you like to meet with your Trainer?*
How often would you like to meet with your Trainer?*
---Select--- \nJust Once Per Week
2 - 3 Days Per Week
4 - 5 Days Per Week
Need Training Daily!
Are you currently recovering from any injuries?*
Are you currently recovering from any injuries?*
If, Yes Above - Describe Your Injury What is your current age? *
What is your current age? *
---Select--- \n18-20
21-25
26-35
36-45
46-55
56-65
Over 65
When would you like to start Fitness Training?*
When would you like to start Fitness Training?*
---Select--- \nNow!
Within One Week
Within A Month
What are your best times to Fitness Train?*
What are your best times to Fitness Train?*
---Select--- \nEarly Morning 5am - 8am
Mid Morning 8am - 11am
Lunch Time 11am - 2pm
Mid Afternoon 2pm - 5pm
Train after Work 5pm - 9pm
Late Night Workout After 9pm
What are your best days to Fitness Train?*
What are your best days to Fitness Train?*
How Many Personal Training Sessions?*
How Many Personal Training Sessions?*
---Select--- \n12-18 sessions
19-24 sessions
25-39 sessions
40+ sessions
What is your Per Session Training Budget?*
What is your Per Session Training Budget?*
---Select--- \n56-65
66-75
76-85
86-95
96-105
106+
Share Additional Fitness, Nutrition & Health Goals Where would you like to Fitness Train?*
Where would you like to Fitness Train?*
---Select--- \nNo preference
In Home
In Fitness Studio
Do you prefer a male or female Trainer?*
Do you prefer a male or female Trainer?*
---Select--- \nNo preference
Male ONLY
Female ONLY
First Name*
First Name*
Last Name*
Last Name*
Zip/Postal Code*
Zip/Postal Code*
State/Prov*
State/Prov*
City*
City*
E-mail Address*
E-mail Address*
What is your Best Phone Number Contact? When is the Best Time to Contact You?*
When is the Best Time to Contact You?*
What is the Best Way to Contact You?*
What is the Best Way to Contact You?*
---Select--- \nNo Preference
Call Me ONLY
Email Me ONLY
How did you Find our Trainer Network?*
How did you Find our Trainer Network?*
---Select--- \nGoogle Search
Yahoo Search
MSN Search
Local Search
Other Search
What word or phrase did you use to find us?*
What word or phrase did you use to find us?*
We want you to know that your personal privacy is our Top priority, as we ONLY share your contact information with Personal Trainers within our My Personal Trainer Fitness Network and we NEVER sell or share your private contact email, phone or any other personal contact information with any third party companies for any reason whatsoever. *
We want you to know that your personal privacy is our Top priority, as we ONLY share your contact information with Personal Trainers within our My Personal Trainer Fitness Network and we NEVER sell or share your private contact email, phone or any other personal contact information with any third party companies for any reason whatsoever. *
---Select--- \nAgree to Information Sharing
I am actively interested in locating & hiring a Personal Trainer. I also understand that all Personal Trainers pay a FEE for my Personal Trainer Request and I AGREE to be contacted via either email and/or phone from one of the Personal Fitness Trainers within The Find My Personal Trainer Fitness Network. *
I am actively interested in locating & hiring a Personal Trainer. I also understand that all Personal Trainers pay a FEE for my Personal Trainer Request and I AGREE to be contacted via either email and/or phone from one of the Personal Fitness Trainers within The Find My Personal Trainer Fitness Network. *
---Select--- \nAgree to ALL Terms Above
DISCLAIMER: Before you start or implement the advice or guidance in regards to an exercise, diet, nutrition or any other form of fitness training and/or meal planning program, YOU NEED TO SEEK the advice and approval of your own personal doctor, nutritionist, registered dietician or a qualified health care professional.*
DISCLAIMER: Before you start or implement the advice or guidance in regards to an exercise, diet, nutrition or any other form of fitness training and/or meal planning program, YOU NEED TO SEEK the advice and approval of your own personal doctor, nutritionist, registered dietician or a qualified health care professional.*
---Select--- \nAgree to Disclaimer
