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Personal Training Questionnare
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First Name
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Your answer
Last Name
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Your answer
Email
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Your answer
Address
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Phone number
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Your answer
Describe what fitness goal(s) you want to accomplish.
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Your answer
How long have you been thinking about accomplishing your fitness goal(s)?
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Less than a week
1 month
6 months or more
How successful have you been since you have started working on your fitness goal(s)?
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Your answer
Reasoning behind your fitness goal(s).
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Your answer
List current/past Injuries that are currently hindering your from doing certain movements, stretches, and exercises.
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Your answer
In what ways have you been working on accomplishing your fitness goal(s)? (workout, supplementation, nutrition etc.)
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Your answer
Check all boxes that apply in relation to your fitness goal(s)
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Lose Weight
Lose Body Percentage
Gain Weight
Gain Body Fat Percentage
Increase Muscle Mass
Increase Strength
Improve Balance
Improve Endurance
Improve Flexibility & Mobility
Improve Athletic Related Performance
Improve Heart Health
Lower Blood Pressure
Prevent/Manage Chronic Health Diseases
Improve Bone & Joint Health
Reduce/Manage Muscle & Joint Pain
Reduce Feelings of Anxiety and Depression
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How soon would you like to accomplish your fitness goal(s)?
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Your answer
What are you expecting to get from the program? Please state anything else that might provide valuable information if not mentioned already.
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