Form
FITNESS ASSESSMENT FORM
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
What do you do for a living?
Birthday
-
Month
-
Day
Year
Date
Age
Gender
Male
Female
Height (ft/in.)
Weight (lbs.)
Body fat % (if known)
Resting heart rate (BPM, if known)
Fitness experience level
Beginner
Intermediate
Advanced
When was the last time you exercised/trained. Briefly explain history/type/experience
Do you (Choose all that apply)
Smoke?
Drink?
On average, how many hours of sleep do you get?
Briefly describe your daily diet/exercise:
How many days a week can you exercise/train?
Which days of the week would you prefer to exercise/train?
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
What is the best time of the day to exercise/train?
Please Select
Early morning
Morning
Noon
Afternoon
Evening
Late evening
Where will you be training?
Gym
Home
Unsure
Is there anything else you would like help with other than fitness that you feel would benefit your daily life and mental health?
How did you hear about SKO'DEN STRENGTH?
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GOAL SETTING FORM
Rank your fitness/health/training goals 1-3, 1 being MOST important:
How will the goals you listed be achieved? (Consider frequency, intensity, duration, diet, etc.)
What, if any, dietary modifications need to be made? (Keep them achievable and realistic. EX: I will reduce the number of days I eat fast food.
What obstacles might interfere with your goal achievement?
What are ways you can overcome those obstacles?
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Submit
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