Personal Training Consultation Form

1

Full Name* This field is required.

First Name

Last Name

2

Gender

Male

Female

Other

3

Age

years

4

Instagram Username

5

Contact Phone Number

6

What type of coaching are you looking for?

1:1 Personal Training

Online Coaching

Small Group Coaching

8

What do you feel is currently stopping you reaching your fitness goals?

9

How would you describe your current knowledge of exercise and fitness training?

I am not familiar

I have a little experience

I am quite experienced

I am an expert

10

How would you rate your current level of fitness?

Unfit

Moderately Fit

Trained

Highly Trained

12

What kind of training/exercise do you do? (If none leave blank)

13

How long have you been exercising/training for?

A few weeks

A few months

Around a year

More than a year

I do not currently exercise

14

When do you prefer to train?

Morning

Afternoon

Evening

15

How often are you available to train each week?

1-2 days

3-4 days

5-6 days

7 days

16

How would you rate your current diet?

Very unhealthy

Fairly unhealthy

Mainly healthy

Very Healthy