978-496-8994
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Name*

First Last

Phone*

Email*

What would you like to focus on?*

Fitness

Performance

Injury Management

Nutrition

Nutrition

What motivates you to lose weight?*

I want to be healthier

I want to improve performance

I want to change my physique

What are your specific goal sets with nutrition?*

What has prevented you from accomplishing your nutrition goals in the past?*

Snacking

Schedule

Accountability

Preferences

Other

Other reason

What is your training background?*

a. Beginner (little to no experience with weight training)

b. Intermediate (some experience in a weight room)

c. Advanced (well versed with weight training)

What is your preferred coaching setting?*

One on one

Semi-private (2-4 people per coach)

Small group (5-10 people per coach)

How many days per week would you like to exercise?*

2-3

3-4

5+

Out of our hours displayed below what time and day works best for you?*

Afternoons 2:30-5:00PM Monday-Thursday

Evenings 5:00-7:00PM Monday-Thursday

Saturday 9:00-11:00AM

Fitness

What area of fitness interests you the most?*

Cardiovascular training

Mobility training

Strength training

Other

Other interest

What has prevented you from accomplishing your fitness goals in the past?*

Accountibility

Nutrition

Exercise

Other

Other reason

What is your training background?*

a. Beginner (little to no experience with weight training)

b. Intermediate (some experience in a weight room)

c. Advanced (well versed with weight training)

What is your preferred coaching setting?*

One on one

Semi-private (2-4 people per coach)

Small group (5-10 people per coach)

How many days per week would you like to exercise?*

2-3

3-4

5+

Out of our hours displayed below what time and day works best for you?*

Afternoons 2:30-5:00PM Monday-Thursday

Evenings 5:00-7:00PM Monday-Thursday

Saturday 9:00-11:00AM

Performance

What motivates you to be a better athlete?*

Winning

Playing at the next level

Scholarship opportunities

Making the team

Other

Other motivation

What do you need to work on?*

Speed/Agility

Strength/Power

Mobility/Stability

What has prevented you from accomplishing your goals in the past?*

Accountibility

Nutrition

Exercise

Other

Other reason

What is your training background?*

a. Beginner (little to no experience with weight training)

b. Intermediate (some experience in a weight room)

c. Advanced (well versed with weight training)

What is your preferred coaching setting?*

One on one

Semi-private (2-4 people per coach)

Small group (5-10 people per coach)

How many days per week would you like to exercise?*

2-3

3-4

5+

Out of our hours displayed below what time and day works best for you?*

Afternoons 2:30-5:00PM Monday-Thursday

Evenings 5:00-7:00PM Monday-Thursday

Saturday 9:00-11:00AM

Injury Management

What area do you need help with?*

Spine

Shoulder

Hip

Knee

Ankle

Other

Other area

How long have you been having trouble?*

A couple of days

A couple of weeks

A couple of months

Over 6 months

Have you had any procedures and/or operations for this area?*

Yes

No

Scheduled/Upcoming

What is your training background?*

Beginner (little to no experience)

Intermediate (some experience)

Advanced (well versed)

What is your preferred coaching setting?*

One on one

Semi-private (2-4 people per coach)

Small group (5-10 people per coach)

How many days per week would you like to exercise?*

2-3

3-4

5+

Out of our hours displayed below what time and day works best for you?*

Afternoons 2:30-5:00PM Monday-Thursday

Evenings 5:00-7:00PM Monday-Thursday

Saturday 9:00-11:00AM

Comments? Concerns? Questions?

Comments

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VERITAS PERFORMANCE TRAINING

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41 Simon Street, 1B, Nashua, NH 03060

Veritas Performance Training - 41 Simon Street Nashua, NH 03060

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Visit Us

41 Simon St, 1A
Nashua, NH 03060

978-496-8994

Hours

Monday: 2:30 – 7PM
Tuesday: 2:30 – 7PM
Wednesday: 2:30 – 7PM
Thursday: 2:30 – 7PM
Friday: CLOSED
Saturday: 9 – 11AM
Sunday: CLOSED

Follow Us

Visit Us

41 Simon St, 1A
Nashua, NH 03060

978-496-8994

Hours

Monday: 2:30 – 7PM
Tuesday: 2:30 – 7PM
Wednesday: 2:30 – 7PM
Thursday: 2:30 – 7PM
Friday: CLOSED
Saturday: 9 – 11AM
Sunday: CLOSED

Follow Us

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