Duke Health and Fitness Center

Personal Training Intake

Please fill out the form and someone will contact you within the next two business days.

Note: A red asterisk (symbol *) indicates a required field. You cannot continue or submit until you enter or make a selection for a field with an asterisk.

If you have any questions about this form, please contact us by:

• Email DukeHealthandFitnessCenter@duke.edu
• Phone 919-919-660-6660

If you experience technical difficulties with this form, please contact Shannon Shurtygin at srs89@duke.edu.