Congratulations

You've taken your first step towards a healthier you, please answer these questions so we can assist you on your health and fitness journey.

First Name *

Last Name *

Phone *

Email *

What is your gender?

What is your age range?

Would you consider online or remote personal training?

Do you have any day preference(s)?

Do you have any time preference(s)?

What location would you be interested in joining?

When would you like to start training?

How likely are you to making a decision?

How would you describe your current exercise regimen?

What are your motivations behind the goal?

What are your goals?

How frequently would you attend classes?

Where did you hear about us? *

If referral, please mention referrer name

By checking this box, you agree to our Terms & Conditions. By providing your phone number, you consent to receive SMS marketing text messages from Persistence Culture. Text messages may be sent using an automated dialing system. Your consent is not a condition of purchasing any goods or services and may be revoked at any time by responding STOP to any SMS text messages your receive.