SAMBROSIOFIT Personal Training Pre-Consultation Questionnaire
Coaching is a relationship and a collaborative process, and I’m here to help you reach your goals. The key for this process to be successful is your commitment to investing your time, energy, and resources in yourself.

The more in-depth your answers are, the better.
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Full name *
Email *
Best contact number *
Age *
Gender *
Height *
Weight *
Resting heart rate *
Favourite movie?
What is your desired start date?
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How did you find me? *
Tell me about yourself/why are you reaching out? *
What is your occupation? *
Have you ever had a coach before? If so, please tell me what your experience was like. (What did you like? What did you dislike? etc.) *
What is your experience level with weight training? Beginner, Intermediate, Advanced? Powerlifting? Bodybuilding? Recreational? *
What are your health and fitness goals? ie. increased energy, increased general well-being, fat loss, muscle gain, body recomposition, consistency *
Why are these goals important to you? *
Have you attempted reaching these goals in the past? *
Were you successful at reaching your goals? If so, what worked? *
If you were not successful at reaching your goals, what was your biggest challenge? (Mental blocks, time management/scheduling conflicts, distance from the gym, support system etc.) *
What is the longest amount of time you consistently adhered to a training program? *
How many hours of sleep do you get per night? Do you wake up feeling rested? *
On a scale of 0 - 10, how would you rate your average level of stress? *
Not stressed at all
Stressed all the time
What techniques do you currently use to manage your stress levels? *
Do you smoke tobacco or use a vaporizer alternative? If YES, how often? *
Are you currently performing any type of cardiovascular activity? *
Are you currently taking any supplements? Provide information and dose of each supplement you are currently utilizing. *
Is there anything in particular you want to incorporate into your program? Or is there anything you’ve been wanting to try but don’t know where to start or are intimidated? *
Are there any movements I should avoid programming? Why?
 *
Do you have any current health issues/concerns that I need to be aware of? Injuries, disease, disorder, metabolic condition, chronic illness, current or long-term medication use. *
Please list out any past surgeries: *
If you have experienced injuries or surgeries, were they properly rehabilitated and did you receive clearance from a doctor to perform physical activity? *
If you start finding it harder than you expected, or things are slower for whatever reason, what will you need to remember in order to push through?
 *
(FOR ONLINE CLIENTS ONLY; if not applicable, write N/A) The expectation is you'll check in every week, even if you had an off week or “messed up.” I want you showing up for yourself even when you’re discouraged. How does this make you feel?
 *
(FOR ONLINE CLIENTS ONLY; if not applicable, write N/A) If you miss a check-in without a heads up, how would you like me to respond?
 *
IF there is anything else besides just achieving your goals, what are you hoping to get out of this program/working with me? *
How can I best support you as your coach? *
Why choose Samantha/SAMBROSIOFIT over other coaches?
 *
Anything else you want me to be aware of? *
Who do you know that would also want this for themselves and benefit from this service? Drop their contact info below!
 *
What training option are you interested in? *
(FOR ONLINE AND HYBRID CLIENTS ONLY; if not applicable, select N/A)   By answering "Yes" you acknowledge and understand that this program is a minimum of 6 months in length and it is up to you to put in the work to see results.  *
Are you ready to invest in yourself, commit to the process, and turn your goals into a reality? *
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