New Client

New Client Consultation

Name*
Prefix First Middle Last Suffix
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Enter Email Confirm Email
Phone*
Primary Employer / Other Employers*
We ask for your employer and occupation so we can connect you to our professional network and help our clients find clients, customers, jobs, and resources.
Primary Occupation / Other Occupations*
Birthday*
Date Format: MM slash DD slash YYYY
Assessment Date*
Date Format: MM slash DD slash YYYY

Assessment date is today's date.
How did you hear about PT Strength?
On a 1-10 scale, how do you feel right now?*
Please enter a number from 1 to 10.
1 is the worst and 10 is the best.
Does anything hurt?*
List all surgeries you have undergone along with the date and reason.*
What medications are you taking, if you are taking any?*
List any major illnesses you have battled or are currently battling.*
List any physical limitations you have.*
What organized sports did you play in school?*
Add the length of your career for each sport and the highest level played.
What are your current athletic hobbies?*
Height*
Weight*
Chest*
Waist*
Hips*
Waist-Hip Ratio*
Divide your waist measurement by your hip measurement. For women, anything less than 0.8 is considered healthy. For men, anything less than 0.9 is considered healthy.
Body Mass Index*
Access the body mass index calculator here.
What are your training goals?*
What factors prevented you from hiring a personal trainer in the past?
- I did not have the time to train consistently.
- I was unable to commute to train consistently.
- I was always traveling and cannot train in-person.
- I could not find a trustworthy coach.
- I could not find a coach who was a good fit.
- I could not afford personal training services.
- Other
Emergency Contact Name*
First Last
Emergency Contact Relationship*
Emergency Contact Phone*
Emergency Contact Email*
List your availability to train during the week.*
Current Shirt Size*
Desired Shirt Size*