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You've taken the first step toward achieving all of your health & fitness goals!

In order for us to have a better understanding of what type of program you are looking for, please complete the following 2-minute Health Questionnaire below. After you submit the form you can expect a phone call or email within 24 hours to set up your complimentary fitness consultation!

Functional Fitness Training is accepting a limited clientele (40 total

clients/monthly) to change their lives with our results driven guaranteed fitness programs. All sessions are by appointment only and clients are selected through our online health questionnaire application.

Name:

Email:

Phone Number:

Birthdate:

Male or Female:

Height:

Weight:

Optimal Time to Exercise:

Occupation:

How did you hear about us:

Do you know of any reason why you should not participate in physical activity:

How many days a week are you currently working out:

How long are your typical workouts:

How many days a week would you realistically like to see yourself working out:

Describe your ideal personal trainer:

What are your fitness goals:

What sports activites do you like:

Why should you be chosen as a candidate to work with us at Functional Fitness:

We respect your email privacy

Congratulations! If you’ve made it this far you are well on your way to achieving
any goals that you have set for yourself. Your determination and the correct
exercise program will keep you motivated and attaining your goals!

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