Boston Personal Training Questionnaire

Name

First

Last

Phone Number

Email

write your are

Preferred Method of Communication

Email
Text

Are you an EverybodyFights member?

Yes
No

EBF Location

Boston SPRT
Boston FIDI

If you have a preference for a particular trainer, please write their name below.

If a member referred you to this form, please write their name below.

What times work for you?

What days work for you?

Why are you seeking personal training?

Improve/learn boxing
Strength training
Conditioning
Small group training (3-5 people)

If you are interest in small group training, please list the names and email addresses of the other people you would like to train with:

What would you like to achieve during your session?

Has your doctor said you have a heart condition and that you should only do physical activity recommended by a doctor?

Yes
No

Have you ever experienced any chest pain, severe shortness of breath, loss of balance due to dizziness, or loss of consciousness during physical activity or in your day-to-day life?

Yes
No

Do you have any bone or joint issues that could be made worse with physical activity?

Yes
No

Boston Personal Training Questionnaire

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