Amazingly Fit Prenatal and Postpartum Certified Personal Trainers
  Amazingly Fit - Prenatal and Postpartum Certified Personal Trainers
 
 

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Personal Trainers
Jason Keigher
Urban Fitness
Tri State Fitness
Surge Fitness
Fit Brides
The Fitness Edge
 
Jason Keigher
Prenatal Certified Personal Trainer available in New York City NY.
 
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New Client Sign Up Form


Amazingly Fit is committed to finding you a compatible pre/post natal certified personal trainer, yoga instructor, pilates instructor, massage therapist or nutritionist. This questionnaire will help us understand your needs and goals. We can also be reached directly at 917-549-8998.

REQUIRED INFORMATION
Full Name:
Email Address:
Phone Number:

OPTIONAL INFORMATION
  
Street Address:
City:
State/Province:
Zip/Postal Code:
Country:


HEALTH AND FITNESS GOALS
What are your health and fitness goals? (be very specific)
Are you currently pregnant? yes      no
If yes, when is your due date?

What areas of fitness interest you?  Pre/Post Natal    Strength training    Yoga    Body Toning and Shaping Weight Loss    Flexibility/Stretching    Pilates    Postural Correction    Nutrition    Other:


TRAINING LOCATIONS, TIMES AND DATES

Select the days you would you like to workout?  Sunday    Monday    Tuesday
Wednesday    Thursday    Friday    Saturday

What time of day would you like to workout?  6-9am    9am-12pm    12-3pm
3-6pm    6-9pm    9-11pm    Other:

Where will you workout? Gym/Health Club   Home    Other:

If you will workout at home, what type of equipment do you have?


EXERCISE HISTORY
Do you currently exercise on a regular basis? yes no
If yes, describe the frequency, intensity, time and type of exercise routine:


MEDICAL HISTORY
List any injury or medical condition that may limit your ability to follow a fitness program:


MISCELLANEOUS
List any additional information, including specific trainers that you'd like to work with:

Thank you for filling out this questionnaire. We will notify you when we receive your information. If we need additional information we will call or e-mail.