Personal Training Inquiry

Phone: 541.926.4488 Thank you for inquiring about personal training at the YMCA. Please fill out the form below and our Fitness Director will reach out as soon as possible.

Name

Date

Email

Phone

Age

Do you regularly exercise  Yes  No

If yes, What does your exercise regime look light?

If no, have you ever had exercise experience? What did it consist of and when?

What are your wellness goals?

Do you have any injuries or health conditions we should be aware of?

What days and times are you wanting to meet with a personal trainer?

Preferred gender of personal trainer?  Male  Female  No preference

Is there any additional info you would like to share with us?