Get Started
Contact Cutting Edge Personal Training for your Free 1 Hour Fitness Consultation with Jim Cipriani.
Your free Free consultation will include discussions on ...
- your current fitness level
- past exercise experience
- muscle building strategies
- strength training programs
- nutritional guidance
- tour of the facility
- and any answers to any questions you come with
To schedule your Free consultation, Individual or Group, or Long Distance Telephone Consultation, please fill out and send the Personal Profile form below ...
Personal Profile Form
The information you provide will be kept confidential.
First Name
Last NameDate Of Birth
Last NameDate Of BirthStreet AddressCityState Zip Code
CityState Zip CodeDaytime Phone Number Evening Phone Number Email Address
Evening Phone Number Email AddressHow did you hear about Cutting Edge Personal Training, Jim Cipriani, and/or www.jimcipriani.com?
Gender:
Has a doctor ever advised you against partaking in any exercise program?
If you answered "yes", please explain why:
Which program are you interested in?
Do you currently take any medications?
If you answered "yes", please explain:
Do you have any injuries or other medical conditions?
If you answered "yes", please list them:
Thank you for taking the time to fill out the personal profile form. You can expect a call from me shortly!
James Cipriani
Cutting Edge Personal Training
