Free Personal Training Consultation

Please Complete this form to give us the information necessary to best help you reach your fitness goals. After submitting the form, Lynn Thompson will personally be in touch to discuss how we can work together to create the body of your dreams.

Your Name
Your Email Address
Telephone
Training location of choice	Your Home Your Office Gym or Studio Other Location
I want to work on	Weight Loss Increased Energy Thigh Area Buttocks Area Abdominal Area Arms "Love Handle" Area Enhanced Sex Life Better Nutrition Depression Other (See Comments)
If weight loss is a goal, how much would you like to lose?
List any medical conditions you would like to discuss
Has a Certified Trainer ever created a cusomized fitness and nutrition program for you?	Yes No
How soon do you want to reach these goals?	1 to 3 months 3 to 6 months 6 to 9 months 1yr or longer
Additional comments
How did you hear about us?	Client Referral Google Yahoo MSN Radio Mall Advertisement Magazine Article Word of Mouth Other
Would you like to join our Free eNewsletter?	Yes, I want to join and know that I can unsubscribe at any time. No, I do not want free health and fitness tips emailed to me.
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