Personal Training Questionnaire

Our certified instructors are excited to work with you!

The questions below are meant to help our instructors provide a more personal approach to your training. We appreciate your honest feedback so we can help you accomplish your goals.

First Name:

Last Name:

Email:

Age:

How frequently do you exercise, and what type of exercise do you partake in??

Have you ever had any serious injuries? If so, what and how long ago?

Has your doctor prescribed you medication for blood pressure or a heart condition?

Yes

Do you lose your balance because of dizziness or do you ever lose consciousness?

Yes

Do you have any limitations in terms of range of motion or specific movements that can be difficult? If so, please explain

What are some of your primary fitness goals?

Improve Climbing

Increase Strength

Facilitate weight loss

Other

Are there any specific exercises that you enjoy?

Are there any specific exercises that you want to improve upon?

Available Dates for Lesson (select all that apply)

Monday

Tuesday

Wednesday

Thursday

Friday

Timeframes Available (select all that apply)

Mornings (9 - 11 AM)

Afternoons (12 - 4 PM)

Evenings (5 - 8 PM)

Any other information you'd like your instructor to know please indicate below

Thank you for contacting us.
We will get back to you as soon as possible.

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Main: 602-843-2724
Email: contact@blackrockbouldering.com
10436 N 32nd St
Phoenix, AZ 85028

HOURS

General Public

M-F 9:00 am - 9:00 pm

SAT: 9:00 am - 6:00 pm

Members & Punch Pass Holders ONLY

SUN: 10:00 am - 4:00 pm

2025 Holiday Hours

Membership Management

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Personal Training Questionnaire

Main: 602-843-2724Email: contact@blackrockbouldering.com10436 N 32nd StPhoenix, AZ 85028

HOURS

Main: 602-843-2724
Email: contact@blackrockbouldering.com
10436 N 32nd St
Phoenix, AZ 85028