Personal Training Enquiry Title Ms Miss Mrs Mr Cr First Name * Last Name * Your Email Address * Comments Telephone Home * Telephone Mobile * Date of Birth * Gender * Male Female Membership Number (if known) What type of personal training are you interested in? Individual Couples Groups How often would you like to train per week? * Preferred training days and times *Please indicate the days and times you would like to train with a personal trainer. Why are you interested in Personal Training? *Please list your 3 main goals Program session time frames * 30 mins 60 mins Please list your 3 main goals What are your favourite types of exercise? Weight/Strength Cardio Boxing Other Do you have a trainer preference?