Client Inquiry

Fitness Assessment Questionnaire
Promo code
Name*

First NameLast Name
Gender*

MaleFemale
Cell Phone*
Please enter a valid phone number.
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?*

YesNo
Is this for in person or online personal training?*

In person trainingOnlineCardio 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.*

GoodBadDecent but I could use your helpumm is worse than bad an answer?
How much water do you drink?*

0-1 16.9 oz bottles1-2 16.9 oz bottles3-5 16.9 oz bottles6 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?*

YesYESTERDAY
Which 3 days are you committing to go to the gym?*
Ex Mon, Wed, Fri
Which do you prefer?*

MorningsAfternoonsEveningsI'm open
Appointment*
Should be Empty:

Fitness Assessment Questionnaire