Pittsburgh Personal Trainers 1-412-820-3000

Private Training
Information Form

Getting started is easy! Just let us know what kind of training you prefer and when you're available.
Fill out the form below and we'll get in touch with you promptly to iron out all the details.

name:
address:
city, state, zip:
phone:
email:
business phone:
fax:
What days and times would work for you? List your preferred times below. Please include any alternate times you could be available. preferred times: alternate times:

Now tell us a little about yourself

age .....................height .............................weight
do you now or have you in the past had any of the following:
history of heart problems, chest pain, or stroke
increased blood pressure
any chronic illness or condition
difficulty with physical exercise
advice from physician not to exercise
recent surgery (last 12 months)
pregnancy (now or within last 3 months)
respiratory problems, lung disease, or difficulty breathing
muscle, joint, or back disorder, or any previous injury still affecting you
diabetes or thyroid condition
cigarette smoking habit
obesity (more than 20% over ideal body weight)
increased blood cholesterol
history of heart problems in immediate family
hernia or any condition that may be aggravated by lifting weights

if you answered "yes" to any of the above, please explain:

Do you have any questions about Myofitness or our programs?

Myofitness
endorses
G&G Fitness Equipment
click here for info!

MyoFitness
@
Alexander's
in
Harmarville
click here for info!

To sign up, email us or call us at 412-820-3000.