Counterman Fitness

Personal Training Application Form

This is in-person personal training built around you. I guide you through a tailored workout routine in a 1-hour, 1:1 session, and I provide the structure and hands-on support to get the most out of every set. I help you dial in your form, tempo and intensifiers so your training feels personal and purposeful. Whether you are a beginner or an advanced lifter, I will critique and improve your training to help you build muscle and lose fat. Apply below and let's get to work.

Thank you. I received your application and I will be in touch soon.

First Name *

Last Name *

Email *

Phone Number *

Age *

Please note: I do not work with anyone under the age of 21.

List your Instagram handle if applicable

What is your primary goal? *

Be as specific as you can.

What have you been struggling with on your own to achieve this goal? How long have you been struggling with this? *

Your current employment status *

Are you an active service member, reservist, veteran or retired military member? *

Discounts may apply.

Are you from the Houston area? *

What do you do for work? *

This helps me better understand your lifestyle.

What time of day do you prefer to train? *

Where did you find me? *

On the next page, you will be directed to my calendar to book a strategy call with me. On that call, I will walk through your goals and map out a personalized plan designed specifically for your body, lifestyle and long-term success.

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