Exercise History and Lifestyle Questionnaire
Name
First Name
Last Name
Age
Summary of Current Exercise
How many times per week are you currently exercising?
How difficult are your workouts?
1 = easy 10 = hard
How long are you exercising for each time?
Minutes
What type of exercise are you doing?
Running, Weights etc.
What types of exercise do you enjoy?
What types of exercise do you dislike?
Do you have any previous or current injuries/conditions?
Give as much detail as you like, the more information the better.
What is your goal?
How many days per week are you free to train?
Lifestyle
What is your occupation?
How much time do you spend travelling per day and by what method?
Bike, car, bus etc.
What do you do for hobbies?
Do you smoke? If yes how many per day?
Do you drink? If yes how much per day?
Drinks or units
How many hours sleep do you get per night?
Between what times do you sleep?
Do you have any dietary preferences or allergies?
Submit
Should be Empty: