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Boston Personal Training Questionnaire
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Name
*
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Phone Number
Email
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Preferred Method of Communication
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Are you an EverybodyFights member?
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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?
6:00AM - 8:00AM
8:00AM - 11:00AM
11:00AM - 1:00PM
1:00PM - 4:00PM
4:00PM - 6:00PM
6:00PM - 8:00PM
What days work for you?
Sunday/Saturday
Monday
Tuesday
Wednesday
Thursday
Friday
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
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Boston Personal Training Questionnaire
