Book appointment Name * First Name Last Name Email * What is your gender? * Male Female Prefer not to say What are your fitness goals? (Lose weight, tone up, gain muscle) * What do you presently do for exercise? * Are you looking to work with a trainer on a regular basis or just learn a few more exercises and address some of your fitness-related concerns? * Regular basis As needed Any additional concerns? Is this your first time meeting with Italo? * Yes No Thank you!