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Offers & Promos Offers & Promos YES, I want to receive exclusive offers & promos!

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Country CountryCanadaUSAOther

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When is the best time to contact you? When is the best time to contact you?MorningsAfternoonsEveningsWeekends

Age AgeUnder 2525 to 2930 to 3435 to 3940 to 4445 to 4950+

Gender GenderMaleFemaleOther

Are you seeking training for yourself or someone else? Are you seeking training for yourself or someone else? Myself Someone Else

What is your top Health and Fitness Goal? What is your top Health and Fitness Goal?Lose Weight & Reduce My Body Fat %Tone & Tighten My MusclesBuild Mass & Increase StrengthBuild a Nutrition & Health PlanHave More EnergyImprove My Cardiovascular HealthHave My Overall Fitness Level Assessed

Are you currently recovering from any injuries? Are you currently recovering from any injuries? No Yes

If you answered Yes above, please describe your injury:

Additional Nutrition, Health and Fitness Goals:

How often would you like to meet with your Trainer? How often would you like to meet with your Trainer?1 - 2 Days Per Week3 - 4 Days Per Week5 - 6 Days Per WeekNeed Training Daily!

When would you like to start Fitness Training? When would you like to start Fitness Training?Now!Within One WeekWithin One Month

What days are best for you to Fitness Train? What days are best for you to Fitness Train? Sunday Monday Tuesday Wednesday Thursday Friday Saturday

When are the best times? When are the best times? Before 9AM 9AM - 1PM 1PM - 5PM 5PM - 9PM After 9PM

Where would you like to Fitness Train? Where would you like to Fitness Train?No preferenceIn HomeIn Fitness Facility

Weight Training Equipment Already Owned Weight Training Equipment Already Owned Standard Dumbbells Bowflex – SelectTech Dumbbells PowerBlock Dumbbells Barbell Set Kettle Bells The Total Gym Bowflex Gym Brand X Gym Flat or Incline Bench Exercise Ball Bosu Ball Fitness Bands

Cardio Training Equipment Already Owned Cardio Training Equipment Already Owned Bowflex – TreadClimber Standard Treadmill Elliptical Machine Ski Machine Encumbent Bike Upright Bike Rowing Machine Stair Climber

What is your expected time frame for reaching your goal? What is your expected time frame for reaching your goal?3 Months6 Months12 MonthsOver One Year

If you are not local to the Toronto area, would you be interested in speaking with a trainer regarding Phone Coaching or Online Training? If you are not local to the Toronto area, would you be interested in speaking with a trainer regarding Phone Coaching or Online Training? Phone Coaching and Online Training Phone Coaching Online Training Neither

Additional Questions or Comments

DISCLAIMER DISCLAIMER Before you start or implement the advice or guidance in regards to an exercise, diet, nutrition or any other form of fitness training and/or meal planning program, YOU NEED TO SEEK the advice and approval of your own personal doctor, nutritionist, registered dietician or a qualified health care professional. (Check box if you understand)