Pre Consultation Form

Please complete the form below to help me understand your current position prior to our consultation. Please note this form is yours, so aim to be as honest and as accurate as possible, which will enable me to get a better insight into your life and gives us a better chance in creating the right service for you for life changing results. Once you complete this form, I will send you dates/times for your consultation which is for

Name

Email

example@example.com

What Programme are you interested in?

Would you like to be added to the mailing list for more tips?

1. How long have you been wanting to make changes to your lifestyle?

Type a question

Your Phone Number

2. How important is it for you to make these changes and why? (Rating system 1 Not Important 10 Life changing important)

3. Have you ever set your own goals before and if so, what were they?

4. Did you achieve them?

5. When working towards your goals what were the main barriers you had to overcome?

Other comment below

6. How would you rate your current activity levels?

7. How would you describe your current nutrition habits?

Explain in more detail why you have chosen that option?

8. When it comes to the gym, exercise, and movement, what do you enjoy doing?

9. What do you find you dislike and do not enjoy?

10. When it comes to trying to achieve your goal, what do you feel you need support with the most?

11. In your words, what are the main outcomes you would like to achieve from having personal training?

12. How long would you say it would take to achieve your goal?

14. Do you want to add anything else you feel would benefit my understanding of you and what you want to achieve?

15. How did you hear about me?