Personal Training

Personal Training Application Form

Balance Health + Fitness offers an all-encompassing package of  services that are guaranteed to help you attain your fitness goals.

By filling out this questionnaire you are providing Balance Health + Fitness with the information we need to best match you with a Trainer for personal trainer.

We will match you with one of our fitness professionals with whom you can meet for a free consultation. Please be as detailed as possible in your responses.

How did you hear about us?
 Personal Referral Google/ Other search engine Facebook Print Ad Balance Professional Referral

Personal Information

First Name*

Last Name*

Phone

Email*

Age*

Do you have a preference in Trainer?
 No Preference  Male Female Specific Trainer

Which days can you workout on?
 Monday Tuesday Wednesday Thursday Friday Saturday Sunday

What times of day work best for your schedule?*

What are your fitness goals?

Do you have any pre-existing or current injuries, or complications? Please explain.*

Services you are interested in.
 Personal Training One-on-One Personal Training Couples Training Massage Active Release Technique Treatment Active Isolated Stretching Session Membership Other

Questions or Information?