How Should We Reach You?

* Name:

* Email:

* Phone:

* Required fields. We won't put you on a mailing list!

What are you looking for in a trainer/ program? (e.g. sports, injury recovery, motivation)

Male Trainer Female Trainer No Preference

I would like to schedule a tour.
We are happy to schedule your visit at any time of day so that you can get a feel for the staff, clients, and level of energy on the floor at your preferred workout time(s).

Scheduling Preferences

Menlo Park AXIS
Mountain View AXIS

How often do you want to work out with your trainer? (e.g., twice per week)
Session Length: 30 or 45 minutes 60 minutes or longer

What days/times are best for you? (Select all that apply)
Are you a morning person, or does your energy peak late in the day? You'll get the most out of your workouts if you schedule them when you have the most mental and physical energy!

Mondays Tuesdays  Wednesdays   Thursdays  Fridays   Saturdays

Early Morning (5am-8am) Late Morning (9am-11am) Early Afternoon (12pm-3pm)

Late Afternoon (4pm-6pm) Evening (7pm-9pm)

How did you hear about us? (Optional)

Word of Mouth/Recommendation

From an AXIS Employee
From an AXIS Client
From a Health Care Provider

Media

Online/Web Search
San Jose Mercury News
Menlo Park Almanac
Palo Alto Daily News
Mountain View Voice
Gentry Magazine
Yellow Pages
TV Spot

Community

Walked/Drove By
Event/Race Booth
Charity Event/Silent Auction
Gift Certificate

Other: