Online Program – Training Form

Please complete this form as accurately as possible to help us provide you with the correct plan for you.

First Name

Last Name

Email Address

Phone Number

Occupation

How did you hear about us?

Street Address

Suburb / City

State / Province / Region

Post Code / Zip Code

Country

Immediate goals? (0-12 months) and long term goals (12-24 months)

What will be your training location?
GymHomeOutdoors

If you are wanting a home or outdoor program please list all available training equipment you have.

Do you have any injuries or any medical conditions that may affect your ability to exercise? Please list below.

What type of training are you currently doing?
WeightsCardioWeights & CardioNone

How long have you been doing this kind of training?
01 year1-3 years3-5 years5+ years

How many days each week are you able to train?
OneTwoThreeFourFiveSixSeven

Have you performed any of the following exercises before? Please select from the list.
Back SquatsFront SquatsLungesThrustersBench PressDeadliftsChin-UpsKettlebell Swings

Select your program

Required fields

Connect With RDPT

RDPT Partners

Location

Rafael David Personal Training is run directly out of Goodlife Health Clubs Fortitude Valley
(Homemaker City North, Cnr Wickham Street & Montpelier Road, Fortitude Valley QLD 4006, Brisbane, Queensland, Australia).

Click here for location map

[email protected]

Phone

0408 750 996