Gym Location Tarah Romano Personal Training Inquiries "*" indicates required fields Already a Balance Member?* Yes No Member IDFound on keycard or in your Balance Gym welcome email. (You may SKIP if not known.)Customer InformationName* First Last Email* Phone*Date of Birth* MM slash DD slash YYYY Fitness GoalsTell us what your goals are.Training Goals*What are your training goals? Select as many as apply to you. Weight Loss Build Strength Performance Tone Up Improve mobility/flexibility Other (please specify) Specific Training Goals*Do you have any Injuries that may have an impact on your ability to train? Yes No Describe Your Injury*Please inform us of any injuries or notes from your doctor or physical therapist regarding your ability to perform exercises.Best Personal Training Times and LocationWhich days and times of day work best for you? Select as many as apply.Day 1 Monday Time of Day 1What Time?Mornings (5:30 am – 10:30 am)Midday (10:30 am – 1:30 pm)Afternoon (1:30 pm – 4:30 pm)Evening (4:30 pm – 8:30 pm)Day 2 Tuesday Time of Day 2What Time?Mornings (5:30 am – 10:30 am)Midday (10:30 am – 1:30 pm)Afternoon (1:30 pm – 4:30 pm)Evening (4:30 pm – 8:30 pm)Day 3 Wednesday Time of Day 3What Time?Mornings (5:30 am – 10:30 am)Midday (10:30 am – 1:30 pm)Afternoon (1:30 pm – 4:30 pm)Evening (4:30 pm – 8:30 pm)Day 4 Thursday Time of Day 4What Time?Mornings (5:30 am – 10:30 am)Midday (10:30 am – 1:30 pm)Afternoon (1:30 pm – 4:30 pm)Evening (4:30 pm – 8:30 pm)Day 5 Friday Time of Day 5What Time?Mornings (5:30 am – 10:30 am)Midday (10:30 am – 1:30 pm)Afternoon (1:30 pm – 4:30 pm)Evening (4:30 pm – 8:30 pm)Day 6 Saturday Time of Day 6What Time?Mornings (5:30 am – 10:30 am)Midday (10:30 am – 1:30 pm)Afternoon (1:30 pm – 4:30 pm)Evening (4:30 pm – 8:30 pm)Day 7 Sunday Time of Day 7What Time?Mornings (5:30 am – 10:30 am)Midday (10:30 am – 1:30 pm)Afternoon (1:30 pm – 4:30 pm)Evening (4:30 pm – 8:30 pm)Personal Training Gym Location*Which Balance Gym location works best for you?Select Location...Capitol Hill (214 D ST SE)Foggy Bottom (2401 M ST NW)Glover Park (2121 Wisconsin Ave NW)Thomas Circle Training Studio (1111 14th ST NW)Wrap UpHave you done personal training before? Yes No When and where did you train?If there is anything else you would like to add please do so belowI.e.; Which trainer would you like to work with?; Do you have a preference of gender for your trainer?; Etc.CAPTCHA Δ admin2018-12-12T10:58:26-05:00
