Personal Training Initial Consultation Package!

Includes:

• 1 Hour Session
• Intake Questionnaire
• Goal Planning
• Customized Fitness Plan
• Workout Planner
• Virtual Appointment

Please complete the sign-up form attached or on Lily’s Wellness Lounge website: https://lilyswellnesslounge.com/application-for-11-personal-training/

Personal Training Inquiry Form

Please enable JavaScript in your browser to complete this form.

Name *

First

Last

Email *

Phone Number *

Age *

Weight (lbs) *

Current Level of Physical Activity *

• Exercise 3-5 days or more a week
• Exercise 1-2 days a week
• Exercise every other week
• Exercise once a month
• Rarely exercise

Fitness goals and/or reason for pursuing personal training?

What types of physical activity and/or exercises do you enjoy doing? *

Do you have any medical conditions and/or history of injury? If so, please list. *

Desired Day(s) *

• Monday
• Tuesday
• Wednesday
• Thursday
• Friday
• Saturday
• Sunday

Desired Time(s) *

• Early Mornings (Before 8 am)
• Mornings (8 am - 12 pm)
• Afternoons (12 pm - 5 pm)
• Evenings (After 5 pm)

Select desired personal training plan. If you are unsure, please select n/a). *

• Let's Get Physical
• The Sweat Life
• Taking It One Rep At A Time
• Post-Workout Flex
• Speak With Results
• Hustle For That Muscle
• Strong Is The New Pretty
• Keep Your Squats Low And Standards High
• N/A

Submit