If you’re interested in joining us, feel free to contact us directly or use our form to get started. The more you are able to tell us, the better we can serve you!
4431 William Penn Hwy
Murrysville, PA 15668
Get In Touch
Monday & Wednesday: 6am – 7pmTuesday & Thursday: 5am – 7pmFriday: 6am – 6pmSaturday: 7am – 10amSunday: CLOSED*Fridays Open Gym is during class times only
All fields marked with * are required.
What is your name? *
What is your email address? *
What is your phone number?
When is the best time to reach you?
What services are you most interested in? *
Boot Camp ClassesSemi- Private TrainingPrivate TrainingOpen GymNutritional CounselingFit 3D ScanOther (Please describe below)
When is your birthday? *
What is your height?
What is your current weight? *
What is your desired weight? *
Were you overweight as a child?
Do you have high cholesterol? *
Do you have high blood pressure? *
Are you over 65 years of age and not accustomed to vigorous exercise? *
Yes, I am 65+ and am not accustomed to vigorous exercise.Yes, I am 65+ and am somewhat accustomed to vigorous exercise.No, I am under 65 years of age.
Has your doctor mentioned you have heart trouble? *
Has your doctor ever told you that you have a bone or joint problem that has been or may be exacerbated by physical activity? *
Is there any reason, not mentioned thus far, that would not allow you to participate in a physical fitness program? *
Does your mother or father have diagnosed diabetes, heart disease or cancer? *
Have you been told you have a thyroid problem? *
Do you have (check all that apply): *
DiabetesOsteopeniaOsteoporosisDepressionHeart ConditionAsthmaShortness of BreathHerniaRecent SurgeryKnee ProblemsBack ProblemsOther
Do you have any physical injuries that we need to know about? *
What are the main reasons you are not losing weight on your own? Be specific and check all that apply. *
Lack of motivationDon't know howI can't stick with itI procrastinateI need accountabilityI feel confusedI need support
What are the 3 most important things to you with a fitness program. *
SafetyAccountabilityPriceScheduleLearning proper form for exercisesMotivationSupport
On a scale of 1-10 how serious are you about achieving your goals?
Do you often feel weak or sluggish?
Do you feel older than you actually are?
How many meals do you eat each day?
0123456789More than 9
Do you frequently go more than 5 or 6 hours without eating?
Do you know how many calories you eat in a day?
Do you eat breakfast?
Do you take vitamins?
Do you take fish oil?
Do you crave sugary foods or drinks?
Do you feel like you're addicted to sugar?
How many times a week do you eat out?
Do you struggle with any of the following?
Do you need several cups of coffee to keep you going through your day?
How long has it been since you felt comfortable with your level of fitness?
On a scale of 1-10, how is your self esteem?
Why are your fitness goals important to you?
Are you excited or nervous?
How did you hear about us?
Any other thoughts, concerns, comments or questions?