Personal Training Consultation Questionnaire

Personal Training Consultation Questionnaire
Full Name

First NameLast Name
Gender
Date of Birth

MonthDayYear
Age
years
Height
cm
Weight
KG
What do you do for a living?
Whats the activity level at your job?
Do you follow a regular working schedule, do you work days, afternoon or nights?
Please list the physical activities that you participate in outside of the gym and outside of work.:
If you have any diagnosed health problems list the condition(s).
If you are on any medications, please list them.
If you have any injuries, please list them.
Please list:
Your current diet could be best characterized as:
What following goals does best fit in with your goals?
What is your goal with your training?
Why?
How often are you willing to train a week to reach your goal?
Are you currently excersising regulary (at least 3x per week)?
Have you trained with a personal trainer before?
What kind of training did you do?
At what times during the day would you prefer to train?
How often do you want to do Personal Training a week?
Please Choose
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Should be Empty: