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In Home Personal Training in Northern Virginia
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In Home Personal Training in Northern Virginia
 
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Contact us today for more information and strive to become One Day Better!

Call us at (703) 310-7327
Email us at Info@bouncefitness.com
Bounce Fitness
8201 Greensboro Dr. Suite 300
McLean VA 22102
By Appointment Only
 

To schedule your Free Training Session, Group Yoga Class, or Long Distance Telephone Consultation, please fill out and send the Personal Profile form below ...

Personal Profile Form

You are about to change your life forever. The information you provide in your Personal Profile form will be kept in strictest confidence. Please be specific.

First Name *
Last Name
Date of Birth
 
Address *
City *
 
State * Zip Code *
 
Home Phone
Cellular Phone
Work Phone
Email *
Web Site Address
How did you learn about Us?
Please describe in a sentence or two your fitness goal(s).
Has a physician ever advised you against exercise?
 NO    YES, please explain:
Gender:
 Male
Female
Pregnant Female    months.
Please explain any health problems you have, medications you take, including dosages and therapies you are under going here.
Do you have any injuries?

 NO   YES, please explain:
How do you rate your over-all health?
Do you have a nutritionist?
 NO   YES
What type of home exercise equipment do you own?
What health clubs are you currently a member of?
Have you ever worked with a personal trainer before?
 NO     YES, Name of facility:
In what state?
For how long?
Why would you hire a personal trainer?
Are you training for a specific event, occasion or sport?
 NO    YES, Describe:

Describe your current exercise program:

Days a week of weight training and body sculpting
Days a week of cardiovascular activity
Type of cardiovascular activity
Minutes stretching each week
What do you want to accomplish immediately with your trainer?
What are your long-range personal fitness and health goals?
What do you expect to accomplish?
What are the most convenient days and times for you to meet with your trainer? (You may select several with CONTROL-CLICK)
What days and times are completely not possible for you?
I want to meet with my trainer:
I want to learn more about (check those items that apply):
Personal Training
Corporate Services
Sports Training
Yoga Training
Nutritional Programs
Youth Fitness
Boot Camp
Stretching / Flexibility
Group Training
Workout Programs


Additional information you want your trainer to know and/or ask any questions.
 
 
 
Complimentary Session: Refer a friend and get a discount!
First Name
Last Name
Address

City
State Zip Code
Telephone
Email

Thank you for taking the time to tell us about yourself. The information you provided will help us plan, organize and customize your training program before we meet.

You will hear from us soon!

 

 
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