Application for Personal Training with Learn & Lift

1

Nice to Meet you! What is your name?

First Name

Last Name

2

Once I receive your responses, I will get back to you within 72hrs if we are a good fit for training together! What is a good Email address I can reply to?

example@example.com

3

Let's get started! Are you currently involved in a regular exercise program?

One day a week

Three days a week

Two days a week

Four+ days a week

4

Life is constant and ever-changing. How would you rate your overall Stress Level?

Low

Medium

High

5

Good quality sleep can be tough to get at times. How do you feel about your current sleep routine? (check hours and quality!)

4 hours or less

6-8 hours

4-6 hours

8 hours or more

This feels like enough sleep for me

This does not feel like enough sleep for me

6

What does your current nutrition look like?

Clean-eating. (Rarely eat sugary/processed foods.)

80/20. (Eat whole foods around 80% of the time, but may enjoy a special something each day as well.)

Could be better. (Eat whole foods about 50-60% of the time, but processed or fast-foods/restaurants may be high on the list of meal choices.)

Needs some guidance. (Looking to improve habits, but not sure where to begin.)

7

Do you have any major injuries/restrictions that will need to be considered for your training program?

8

Currently, what are your top three priorities in your life?

9

Let's talk goals! There are various kinds- but let's focus on specific exercise first. Do any of these align with your interests and goals?

Increased Strength

Improved Endurance

Increased Muscle Mass

Fat Loss or Weight Gain

Increased Flexibility/Mobility

Improved Overall Health

Getting into a consistent exercise routine

Rehabilite an Injury

Other

10

Now, let's look at other health and wellness goals you may be looking to achieve. Do any of these align with your interests?

Improved Sleep Quality

Better Nutritional Habits

Improved Rest/Recovery on a Weekly Basis

More Overall Energy

Feel More Comfortable and Confident

Fun

Motivation & Accountability

Other

11

In your current lifestyle, how much time could you realistically devote to exercise each week? (This can have various factors based off of your goals, wants, and needs. But the key here is "realistic". There is no wrong answer!)

One day a week

Two days a week

Three days a week

Four or more days a week

12

What would your ideal length of exercise session be? (Ex: 30/60/90 minutes...etc)

13

What do you feel is currently keeping you from achieving your goals? Are there any obstacles or potential actions, behaviors, or activities that could impede your progress towards accomplishing them? (Ex: not training consistently, upcoming vacations, busy season at work, etc)

14

What do you think is the most important thing your personal trainer can do to help you achieve your fitness goals?

15

Lastly, what style of Personal Training do you feel will most compliment your lifestyle, and help you move closer towards your goals?

In-Person, 1-on-1 Personal Training Sessions

Guided Online Personal Training Plans (for use at-home or the gym)

A Hybrid of In-Person Sessions AND and an Online Plan

16

If you chose in-person training, what is your best availability for training sessions? (check all that apply)

Morning

Evenings

Afternoon

Weekdays

Weekends