To get started, fill out the form below or call 617-982-6933 to speak with someone at the office immediately. Name* First Last Email* PhoneSexMaleFemaleHeightWeightDate of Birth Best time of day to workoutOccupationHow did you hear about us?Please check the box to the left of the condition if you have any of the following: Heart Disease Pulmonary Disease Metabolic Disease Family History of Heart Disease High Blood Pressure High Cholesterol Sedentary Lifestyle Chest Pain Dizziness Shortness of Breath Irregular/Accelerated Heart Rate Osteoporosis Arthritis/Joint Pain Back Pain/Spine Disorder Musculoskeletal Pain/Injury Hernia Surgery Hypoglycemia G.I. Disorder High Triglycerides Pre/Postnatal Anemia Food Allergies Are you over 69 and not used to being active? Is your physician prescribing medication for a blood pressure or heart condition? Has a physician ever told you that you have a bone or joint problem that will worsen with exercise? Other Do you know of any reason why you should not participate in physical activity?How many days a week are you currently working out? (0-7x)How long are your typical workouts? (ie. 30 minutes weights/ 30 minutes cardio, etc)How many days a week would you realistically like to see yourself working out?Describe Your Ideal Personal Trainer (personality, special interests, etc.)What Are Your Fitness Goals? (weight loss, definition, energy gain, etc.)What are your interests? (running, biking, swimming, etc)Why should you be chosen as a candidate to work with our weight loss team?Congratulations! If you’ve made it this far you are well on your way to achieving any goals that you have set for yourself. Your determination and the correct exercise program will keep you motivated and attaining your goals!