Personal Training Consultation Questionnaire
Training with hayl
Full Name
*
First Name
Last Name
Email
*
example@example.com
Gender
*
Male
Female
Pronouns
*
She/her
She/they
They/them
He/they
He/him
Date of Birth
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
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31
Day
Please select a year
2024
2023
2022
2021
2020
2019
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2012
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1925
1924
1923
1922
1921
1920
Year
Age
*
years
Height
*
Weight
*
LBS
What do you do for a living?
*
Select your primary aesthetic goal
*
Lose body fat (more than 20 lbs)
Lose body fat (less than 20 lbs)
Body recomposition (lose fat and gain muscle simultaneously)
Gain muscle (less than 10 lbs worth)
Gain muscle (more than 10 lbs worth)
I have no specific aesthetic goal
Whats the activity level at your job?
*
none(seated only)
Moderate (light activity such as walking)
High (heavy labor, very active)
Please rate your readiness for change.
*
1
2
3
4
5
6
7
8
9
10
TImeline for achieving your goal.
*
8 WKS
16 WKS
24 WKS
32 WKS
40 WKS
1 YEAR
NOW
Have you trained with a personal trainer before?
*
Yes
No
If yes, what kind of training did you do?
What are your expectations on me as your Personal Trainer?
*
Consultation
*
Submit
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