BBS2X personal/semiprivate/online training Consultation Questionnaire

1

Full Name

First Name

Last Name

2

Gender

Male

Female

Non- Binary

3

Date of Birth

4

Age

years

5

Height

Feet / inches

6

Weight

Lbs

7

Email

example@example.com

8

Phone Number

Please enter a valid phone number.

9

What you of training were you interested in

Personal training

Small Group training

Bootcamp

Sports performance

Online training

10

Please list any health issues you’re currently experiencing (Asthma, High blood pressure, Anemia, Diabetes) etc.

11

What do you do for a living?

12

Whats the activity level at your job?

none(seated only)

Moderate (light activity such as walking)

High (heavy labor, very active)

13

Do you follow a regular working schedule, do you work days, afternoon or nights?

14

Are you experiencing any stresses or motivational problems?

Yes

No

15

What is your goal with your training?

16

At what times during the day would you prefer to train? (Personal training)

Morning

Mid-Day

Afternoon

Evening