Find a Personal Trainer

Title: *	Gender Preference: *
Name: *	Age Preference :
Age:	How much should they cost? *
Location: *	Please outline your fitness goals or your reasons for wanting a Personal Trainer: *
Home T:
Mobile T: *
Email: *	Please provide any other information you would like us to use when finding your suitable Personal Trainer:
Preferred Contact Time GMT: *

Are you a Member of a gym? If so please give the name of your gym:	Where would you like to work with a Personal Trainer?




To ensure your safety, we require you to complete some quick medical screening questions. Please read the following and tick the relevant boxes:
	Yes	No
1. Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor?
2. Do you feel pain in your chest when you do physical activity?
3. Have you developed chest pain in the last month?
4. Do you tend to lose consciousness or fall over as a result of dizziness?
5. Do you have a bone or joint problem that could be aggravated by physical activity?
6. Has your doctor ever recommended medication for blood pressure or an heart condition?
7. Are you currently, or have been pregnant in the last 6 months?
8. Do you know of any reasons of why you should not exercise without medical supervision?

"I Accept the Terms & Conditions" *