WelcomE to BalancE WE CAN’T WAIT TO HAVE YOU JOIN US! PLEASE FILL OUT THIS FORM AND WE WILL BE IN TOUCH AS SOON AS POSSIBLE. Name * First Name Last Name Email * Phone (###) ### #### Age? (It can be our secret) How did you hear about us? Which service or services are you interested in: * Personal Training Massage Thai Massage Nutrition Active Isolated Stretching Yoga/Wellness Other If other, what services are you interested in? Do you have a preference for a trainer/therapist? Male Female No preference Do you have a specific trainer/therapist in mind? Which days of the week would you like to work out? What time of day works best for you? How many days per week would you like to work out with a trainer? Which training style do you respond best to? Laid Back Energetic Intellectual Direct Accountability Partner Coach Supportive Do you have any pre-existing or current conditions, injuries, irritations, or complications? Thank you!
