Pre-Training Information Form- Wellness and Recreation Services
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Email *
Current Date *
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Name (First, Last)
Phone Number *
Age *
Date of Birth *
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Gender
Do you prefer a male or female trainer? *
Best days for exercise
What times during the day are you available to train? (generally) *
What are your main goals from exercise?
What do you want from your personal trainer?
Are you currently involved in a consistent exercise regimen?
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If yes, please explain what is your regimen.
Are you interested in virtual training options?
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What types of exercise interest you? Check all that apply?
Exercise Goals
Desire to improve rated from 1 (lowest) to 5 (highest)
Improve cardiovascular fitness
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Improve flexibility
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Increase muscular strength
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Increase energy level
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Reduce stress/Improve mood
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Improve performance in a specific sport
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Lose weight
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Gain muscle mass
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Improve diet/eating habits
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Enjoyment in being physically fit
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Other
Past Training Experience
Have you ever joined an organized physical activity program before?
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What activity and how long did you stay with it?
Have you even been injured participating in any physical activity?
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If Yes, Explain your injury.
Any current injuries or conditions that would inhibit exercise?
Session Length? (We suggest hour long sessions)
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How many days a week would you prefer to train?
What personal training session package would you be interested in?
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How did you hear about the UNI personal training program?
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If other, please explain.
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