Personal Training just for you This information helps me design the best workouts and sessions that are personally suited to you Please enable JavaScript in your browser to complete this form.Name *FirstLastWhat are 3 health and fitness goals that you would like to achieve in the next 6 to 12 months? *Do you currently exercise? If so how many times a week and what type of exercise do you do? *List the type of exercise, how many times a week and how long you do it for. Do you have any injuries or medical conditions that may affect your ability to exercise? *If yes, please list them in the above text box and give a brief description. What do you struggle with the most when it comes to exercising regularly? *E.g Motivation, time, knowing what to doHow important is it that you make changes/improvements in your physical activity currently? Selected Value: 0 How confident are you that you can make changes/improvements in your physical activity currently? Selected Value: 0 Are you ready to make changes now? *Yes, I'm ready No, not at the moment Submit