Brian Buturla - Private Studio / Personal Training It's All About You! - 203.838.9644
Personal Trainer, New York, Connecticut
Get Started

Please accept a Free 45-Minute Personal Training Session with Brian Buturla at Private Studio.

Your free Free Training Session includes ...

  • abdominal training program
  • body sculpting
  • strength training
  • yoga-assisted stretching
  • nutritional guidanceCybex
  • exclusive use of fully-equipped, state of the art CYBEXTM studio
  • complete privacy
  • comfortable, immaculate environment
  • superb sound system, your choice of music

To schedule your Free Training Session, Group Yoga Class, or Long Distance Telephone Consultation, please fill out and send the Personal Profile form below ...

Personal Profile Form

You are about to change your life forever. The information you provide in your Personal Profile form will be kept in strictest confidence. Please be specific.

First Name

Last Name

Date of Birth

Address


City

State

Zip Code

Home Telephone

Cellular Telephone

Work Telephone

Email

Web Site Address

How did you learn about Brian Buturla?

Has a physician ever advised you against exercise?
NO    YES, please explain:
Gender:
Male
Female
Pregnant Female    months.
Program I am most interested in:
Please explain any health problems you have, medications you take, including dosages and therapies you are under going here.
Do you have any injuries?

NO   YES, please explain:
How do you rate your over-all health?
Consumption of:
Alcohol times/week
Caffeine times/week

Nicotine/Tobacco times/week
Other times/week
Do you have a nutritionist?
NO   YES
Do you have any children?
NO   YES,
How would you describe yourself to someone who has never meet you?
Explain a typical day in your life.
What specialty groups are you currently working with, if any?
Can you pinpoint what stresses you?
How do you relax?
Whom do you admire?
What qualities do these persons possess?
What motivates you?
What are you passionate about?
What are your strengths?
What are your weaknesses?
What are your greatest accomplishments?
What type of music do you like?
What type of home exercise equipment do you own?
What health clubs are you currently a member of?
Have you ever worked with a personal trainer before?
NO     YES, Name of facility:
In what state?
For how long?
Why would you hire a personal trainer?
Are you training for a specific event, occasion or sport?
NO    YES, Describe:

Describe your current exercise program:

Days a week of weight training and body sculpting

Days a week of cardiovascular activity
Type of cardiovascular activity
Minutes stretching each week
What do you want to accomplish immediately with your trainer?
What are your long-range personal fitness and health goals?
What do you expect to accomplish?
What are the most convenient days and times for you to meet with your trainer? (You may select several with CONTROL-CLICK)
What days and times are completely not possible for you?
I want to meet with my trainer:
I want to learn more about (check those items that apply):
 Alternative Medicine
 Balanced Nutrition
 Boxing
 Customized Hatha Yoga
 Dietary Supplements
 Golf-Conditioning
 Group Yoga
 Hair-Tissue Mineral-Analysis
 Home Gym Design
 Homeopathy
 In-line Skating
 Marathon Conditioning
 Meditation
   Nutrition
 Nutraceuticals
 Ocean Kayaking
 Pranayama
 Qigong
 Rehabilitative Physical Conditioning
 Self-Defense
 Senior Strength Training
 T'ai Chi Ch'uan
 Tennis Conditioning
 Vitamins and Minerals
 Weight-Gain Nutrition
 Weight-Loss Nutrition
 Zen


Additional information I want my trainer to know:

 
I would like to give a Complimentary Session and Private Studio's video to:
First Name

Last Name

Address



City

State

Zip Code


Telephone

Email


Thank you for taking the time to tell me about yourself. The information you have provided will help me plan, organize and customize your training program before we meet.

Please leave this box empty:




 


Meet Brian   |   Why Private Studio?   |   Services   |   What To Expect   |   Get Started!
Request A Free Consultation   |   Directions   |   Site Map   |   Home

8 Park Hill Avenue, Norwalk CT 06851
Talk to Brian! 203.838.9644   Email Brian: brian@privatestudio.com

Copyright © 2001 Brian Buturla. All Images & Photographs All Rights Reserved.
No content or imagery can be used or duplicated without the expressed written consent of Brian Buturla.

Web site developed by Innovative Internet Marketing Solutions

Meet Brian Why Private Studio? Services What To Expect Get Started! Directions Site Map Home