PHED 240/EIM-OC - Personal Training Sign-Up List (SP2023) Question Title * 1. What is your first name? OK Question Title * 2. What is your last name? OK Question Title * 3. Status at MC Faculty Staff Student OK Question Title * 4. Please enter your MC email address below. OK Question Title * 5. Please enter your phone number below. OK Question Title * 6. On average, how many days per week do you engage in moderate to strenuous exercise (like a brisk walk)? OK Question Title * 7. On average, how many minutes do you engage in exercise at this level? OK Question Title * 8. Takoma Park/SS Campus Only Are you available for Personal Training on Mondays and Wednesdays from 11:00 am - 12:15 pm starting on Sept. 21? Yes No OK Question Title * 9. Rockville Campus Only Are you available for Personal Training on Mondays and Wednesdays from 2:00 pm - 3:00pm? Yes No OK Question Title * 10. Student Trainer Preference No Preference Female Male OK Question Title * 11. Please indicate your health and fitness goals. OK Question Title * 12. Please describe any exercise limitations. OK Question Title * 13. How did you hear about the opportunity for Personal Training sessions? Email Word-of-mouth MC Monitors Flyer Other (please specify) OK DONE