Private Client Intake Please fill out the form below. The information you provide will helps me develop a program tailored to your needs and goals. Please enable JavaScript in your browser to complete this form.Name *FirstLastAddress *Email *Cell # *Age *Height *Weight *Do you have any injuries (past/present)? Are you pregnant? What goals do you have? What are you hoping to get out of personal training? It can be anything! All honest answers welcome!What does your fitness routine currently look like? What fitness equipment do you have at home? If you've worked with a trainer before, what worked for you and what didn't? Please describe your general availability each weekCommentSubmit