Christine Busini - Certified Personal Trainer.

Free Personal Training Evaluation

Name
Email
Phone Number
Have you ever worked with a trainer before?	Yes No
Why do you want to work with a trainer now? (select all that apply)	To gain strength/muscle tone Weight loss Enhance cardio/pulmonary endurance Nutritional guidance Sport specific training Competition preparation Flexibility enhancement Core training Balance improvement Rehabilitation (recovery from illness or surgery) Overall wellness Learn proper technique and form Upgrade your current workout
Physical Activity Readiness Questionnaire:
Do you have any cardiovascular problems?	Yes No
Do you have trouble breathing such as asthma, allergies, emphysema etc.	Yes No
Do you have dizzy spells or ever feel light headed	Yes No
Do you smoke?	Yes No
Do you have high blood pressure?	Yes No
Do you have high cholesterol?	Yes No
Are you diabetic?	Yes No
Are you pregnant?	Yes No
Do you have joint or bone problems such as arthritis or osteoporosis?	Yes No
Do you have any injuries, past or present?	Yes No
Do you currently take medication?	Yes No
A few more questions:
Are you male or female?	Male Female
What is your age range?
What is your weight range?
How tall are you?
What environment would you prefer to work in?	I want to train at home I have access to a private gym
How many hours per week can you devote to exercise?

Getting Started

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Details

Fitness for Kids

A fitness program designed to encourage healthy lifestyles for kids.

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Belly Dancing

Tone your abs with belly dancing!

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Need more information?

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Christine Busini
Certified Personal Trainer
718-575-0056 | 917-584-1757