Get a Trainer

The form below will help the Fitness Director place you with a trainer at the club of your choice. *Fields are required.

Contact Information
Name *
Address
Daytime Phone *
Evening Phone
Email *
Club	Back Bay Cambridge Chestnut Hill Coolidge Corner Salem Dorchester Codman Square
Membership	Existing member Considering membership
Training Preferences
Gender	Female Trainer Male Trainer No preference
Level	Regular Trainer Master Trainer No preference
Type	One-on-one Partner Group
Please summarize your availability and how frequently you want personal training sessions.
Do you have a specific trainer in mind? If not, do you have a preference for any personal characteristics, such as age, hobbies, etc.?
What are you currently doing to stay active?
What are your goals in working with a trainer?
Do you have any phyiscal limitations or health concerns?
How did you hear about Personal Training at Healthworks?
Other questions or concerns: