Personal Training Inquiry Name * First Name Last Name Email * Phone (###) ### #### Who may I thank for referring you to me? * What are your fitness goals? (short term & long term) * How active are you in your daily work/life? * sedantary active physical demanding How many hours do you regularly sleep at night? How would you rate your stress level on a scale from 1-10? (1 - not stressed/10- very stressed) Do you have any injuries, medical conditions, or concerns? * Anything else you'd like me to know? Thank you! I look forward to connecting with you soon. Jeni Schluter
