Personal Training Consultation

Full Name*

First NameLast Name
MaleFemale
Date of Birth*

MonthDayYear
Age
years
Height
cm
Weight
KG
What do you do for a living?
none(seated only)Moderate (light activity such as walking)High (heavy labor, very active)
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.
YesNo
YesNo
YesNo
YesNo
if yes please list:
YesNo
low-fatlow-carbhigh-proteinVegetarian/VeganNo special diet
Have you ever tracked your food/macros before?
Improved healthImproved enduranceIncreased strengthIncreased muscle massFat lossCardiovascular
What is your goal with your training?
How often are you willing to train a week to reach your goal?
YesNo
If yes what kind of training did you do:
What are your expectations on me as your Coach?
What is your Email address?
What is your phone number?
Feel free to add any other comments or questions you may have below!
Should be Empty: