Training Program Questionnaire
Please fill out the form below
Name
*
First Name
Last Name
Age
*
Email
*
example@example.com
How active are you currently?
*
Please Select
Sedentary: Activities of daily living only, spend majority of the day seated
Lightly Active- Much of the day spent standing, 30 mins light exercise daily
Moderately Active- A physically active job, 30-60 mins moderate intensity exercise daily
Very Active- Physically active job, 1-2 hours moderate to intense exercise daily
Extremely Active- Physically Active job, 1-2 hours intense exercise daily
How would you rate yourself in terms of experience with exercise?
*
Please Select
Beginner
Intermediate
Advanced
Tell me a bit about yourself, your goals, and what you are looking to gain from this training program?
*
What is your biggest challenge when it comes to exercising? e.g. time, motivation, energy etc.
*
Do you exercise regularly?
*
Please Select
Yes, I exercise regularly
I used to exercise regularly
No, I don't exercise regularly
How many days per week can you/ are you willing to train?
*
1
2
3
4
5
6
7
How much time are you willing to dedicate to training per session?
*
30-45 mins
45-60 mins
1-1.5 hours
Up to 2 hours
Do you have any existing injuries or conditions that I should be aware of while building your training plan?
*
Do you have any exercises that you particularly enjoy?
*
Do you have any exercises that you do not enjoy or that you struggle with?
*
What equipment do you have access to? (please select all that apply)
*
Gym machines (leg press, leg curl, cables etc.)
Free weights (dumbbells/barbells)
Resistance bands
Kettlebells
Bench
Please provide any information, or ask any other questions here.
How did you hear about this service?
Please Select
Instagram
Google
Facebook
Linkedin
Threads
Word of mouth
Business Card
Flyer
Other
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