You can always press Enter⏎ to continue
paperclip
1:1, GROUP OR ONLINE PERSONAL TRAINING
A virtual consultation is required prior to starting. Please ensure to accept the invite via email once you fill out the form.
18
Questions
START
1
What's your full name?
First Name
Last Name
Previous
Next
Submit
Press
Enter
2
What's your age?
Previous
Next
Submit
Press
Enter
3
What's your weight and height? (put an estimate if you do not know)
Previous
Next
Submit
Press
Enter
4
Are you looking for 1:1 training, group classes or Hybrid Training?
All payments are done on a monthly, 3 months or 6 month basis
1:1 Personal Training ($85/session)
Hybrid ($95/session)
Group Classes ($30/session)
Open to All
Previous
Next
Submit
Press
Enter
5
In a year from now, what would your dream body look like? (Feel better in my body, lose weight, gain weight, build strength, have bigger glutes, have abs etc)
Previous
Next
Submit
Press
Enter
6
Any medical conditions? (such as diabetes, heart disease, etc..)
*
This field is required.
YES
NO
Previous
Next
Submit
Press
Enter
7
Any past injuries? (ACL injury, shoulder dislocation, lower back injury, etc..)
*
This field is required.
YES
NO
Previous
Next
Submit
Press
Enter
8
What is your experience with weight lifting?
Select the one that best suits you
Beginner (Never weight lifted before)
Intermediate (1-3 years but not sure if i'm doing it correctly)
Advanced (3+ years)
Previous
Next
Submit
Press
Enter
9
How often do you currently exercise?
Completely inactive
Once a week
2-3 times a week
4 times or more per week
Previous
Next
Submit
Press
Enter
10
What do you struggle with the most? (can't lose stubborn fat, making time for the gym, gaining weight, losing weight, not knowing where to start...etc)
Previous
Next
Submit
Press
Enter
11
How soon did you want to start?
This month
Next month
Not sure yet
Previous
Next
Submit
Press
Enter
12
What does your diet currently look like? Describe a typical day of eating.
*
This field is required.
Previous
Next
Submit
Press
Enter
13
How committed and motivated are you to reaching your health and fitness goals? (1-10)
*
This field is required.
Previous
Next
Submit
Press
Enter
14
What's the best email to reach you at? make sure to accept teams invite via this email - check your junk
*
This field is required.
example@example.com
Previous
Next
Submit
Press
Enter
15
What's your phone number?
*
This field is required.
Please enter a valid phone number.
Previous
Next
Submit
Press
Enter
16
Where are you based? (Ottawa, Montreal, New York, Texas etc)
Previous
Next
Submit
Press
Enter
17
Where did you find this application form? (Instagram, Tiktok, Google, Referral etc)
Previous
Next
Submit
Press
Enter
18
Call booking
Please choose a time that you will be available for a 15 minute video call via Teams Call. Once you select a time, I will send you a calendar invite by email. Please make sure you accept the invite to secure it. Check your junk if you do not receive it within 24 hours or send email to nicole@betterufit.com
Previous
Next
Submit
Press
Enter
Should be Empty:
Question Label
1
of
18
See All
Go Back
Submit