INFORMATION, PLEASE!


Please allow me the opportunity to reach you by completing this short questionnaire.

I would like to talk with you, answer any questions you may have, and I am happy to offer you a complimentary orientation and workout at my studio.

Thanks very much for your time and for your interest in DeSisto Strength Training!

(* required)
*Name:
Company:
Address:
City:
State:
Zip:
*Phone:
Fax:
*email:
Goals:
(check freely)
strength gain     weight loss     improve diet
Gender: male     female
Age: 20s   30s   40s   50s   60s   70s+
Trainer preference: male trainer   female trainer   no preference
Good days
and times for
your workout:
(check freely)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
How did you
hear of us?:
Friend
Health care professional
Web search
Our client
Another personal trainer

 

Please let us know whom to thank:
Questions
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