Contact Information
First Name *
Last Name *
Email *
Home Phone *
Cell Phone *
Age *
Height *
Weight *
Gender *
Please select one
Male
Female
Body Type *
Please select one
Overweight
Underweight
Average
Athletic
A few extra pounds
Bodybuilder
Fitness Experience *
Please select one
Beginner
Intermediate
Experienced
Pro
Do you follow a specific workout program? *
Yes
No
Do you take nutritional supplements? *
Yes
No
Are you on a weight loss/diet program? *
Yes
No
Are you interested in using a tanning bed? *
Please select one
Yes
No
For the right price
I prefer a different tanning method
Are you training for an upcoming event? *
Yes
No
Have you ever used a personal trainer? *
Yes
No
Do you participate in group exercise classes? *
Yes
No
I am a member of AF because I would like to: (Hold down CTRL for multiple selections.) *
lose weight
firm and tone
become more agile
gain weight
increase cardio vascular conditioning
gain strength
make new friends
increase my athletic abilitites
maintain my current conditioning
Would you like us to help you acheive your personal fitness goals? *
Yes
No
Fitness Assessment Date & Time *
AF Employee Name *
Other Information
Other
