Fitness Assessment Questionnaire
Promo code
Name
*
First Name
Last Name
Gender
*
Male
Female
Cell Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Age
*
Current Weight
*
Social media
*
Ex. Instagram handle "@ name"
How did you hear about us?
*
Have you ever worked with a personal trainer?
*
Yes
No
Is this for in person or online personal training?
*
In person training
Online
Cardio boxing
What type of work do you do? Is it physically demanding or sedentary?
*
Do you or did you used to play a sport? If so, which one?
*
Are there any injuries, aches, pains, or physical limitations I need to know about?
*
What are your body goals? Be specific.
*
How's your eating? Be honest.
*
Good
Bad
Decent but I could use your help
umm is worse than bad an answer?
How much water do you drink?
*
0-1 16.9 oz bottles
1-2 16.9 oz bottles
3-5 16.9 oz bottles
6 or more 16.9 oz bottles
What's your motivation? Do you have an event coming up like a birthday, wedding, vacation, or do you just want to feel and look better?
*
How is your life going to change once you achieve this goal?
*
On a scale from 1 to 10 how serious are you about achieving this goal?
*
Are you ready to start TODAY?
*
Yes
YESTERDAY
Which 3 days are you committing to go to the gym?
*
Ex Mon, Wed, Fri
Which do you prefer?
*
Mornings
Afternoons
Evenings
I'm open
Appointment
*
Signature
Submit
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