Personal Training Consultation Questionnaire
Fitness assessment is free for members and $40 for non members.
Full Name
First Name
Last Name
Phone number
Email (don’t worry, just to contact you about your assessment)
Age
years
Height
In
Weight
LB
Goal weight
Have you trained with a personal trainer before?
Yes
No
What kind of training did you do?
What is your current level of physical activity?
Describe your current typical diet.
If you have any injuries or diagnosed health conditions, please list them.
Please rate your readiness/motivation for change.
1
2
3
4
5
6
7
8
9
10
Which of the following best describes your goals?
Improved health
Weight loss
Get stronger
Generally get into shape
What does success in fitness and health look like to you?
How important is it for you to reach this goal and why?
What are the biggest obstacles that have kept you from reaching this goal in the past? (It can be anything - time, money, knowledge, motivation etc)
Who do you think is your biggest supporter, and who is holding you back?
What are you hoping that I can help you with the most?
How long have you been with the gym?
How many times per week can you work out?
I’M READY FOR MY FREE FITNESS ASSESSMENT!!!
Yes
YES!
A MILLON PERCENT YES!!! LET’S GOOOO!!!
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