Personal Goals Interview (PGI) Personal Training | Performance360

PERSONAL INFORMATION:

First Name:*

Last Name:*

Best Email:*

Are you a Performance360 member?*

Yes
No

What is your gender?*

How old are you?*

What pre-existing medical conditions do you have? This can include past injuries, surgeries, diseases, and other medical considerations. (Keep in mind that you will need to seek the permission of your doctor to follow this program, and any advice we give you should never be considered professional medical advice.)*

Do you work at home?

Do you have young kids at home?*

How many hours per week do you work?*

Do you have the flexibility to control when you exercise?*

With how much accountability do you thrive?*

What kind of coaching style do you prefer?*

Which best describes your experience level?*

How many days/week are you looking to train with a coach?

1x/week
2x/week
3x/week
4x/week
Unsure

GOAL SPECIFIC INFORMATION

Which would you say your goals skew mostly towards?*

How important is it for you to add muscle?*

How important is it for you to lose weight?*

How important is it for you to get stronger?*

Tell me about your goals. Be specific.*

What are some common hurdles that have prevented you from reaching your goals before?*

As your Coach, what should I be most aware of about you as a Client? It’s okay, there is no judgement here. This helps me better serve you.*

PERSONAL HABIT INFORMATION

How many hours per week of sleep do you get each night?*

How much water are you currently drinking each day?*

On the average day, how are your stress levels?*

How many meals per week would you say you prepare at home?*

How many full meals do you eat per day?*

Are you willing to make changes to your nutrition?*

Package Information:

Select Your Package:*

1 Session @ $100
4 Sessions @ $90/Session ($360)
8 Sessions @ $85/Session ($680)
12 Sessions @ $80/Session ($960)
24 Sessions @ $75/Session ($1,800)

Payment Information:*

I am a client or member already (charge my account)
I am a new client

Billing Information:

Card Number:*

Expiration Date:*

CVV2 Code (3-4 digit code on back of card)**

Cardholder Name:*

Billing Zip Code:*

Terms & Conditions:*

I understand and Agree

I understand that I'll be charged the selected amount immediately and sessions will be scheduled with my coach. Sessions do not expire, but once purchased there are no refunds.

I understand that if I do not show up to a session, or provide less than 24 hours notice to cancel a session, that session will still be deducted from my package.