First and Last Name:


    Phone Number:

    Current Recess Member:

    Personal Trainer:

    Availability (list all days and times you're available to train):

    Tell us about your goals? (Fitness, Health, Wellness, Life)

    What is driving you to make a decision? Why are your goals important to you? Why now?

    What do you see as your biggest obstacle in achieving your goals?

    What is your commitment level? 1-10 (1 = no commitment, 10 = incredibly committed)

    Current Status

    Rate your stress level 1-5 (low-high)

    Rate your diet 1-5 (good-bad)

    Rate your sleep 1-5 (good-bad)

    Rate your activity level 1-5 (high-low)

    Rate your overall well-being 1-5 (good-bad)




    How are you motivated? (Drill Instructor, Friendly but firm, Friendly & patient)

    What’s your favorite type of workout? What about your least favorite?

    List any serious injuries, surgeries, medications, issues:

    Is there anything else we should know?

    If you no-show for your consultation, you will be charged the full training tier session price.
    Non-members must complete $1 Trial Pass prior to session