FREE CONSULTATION
Be honest with your answers, so we can plan the perfect fitness journey to you.
Name
*
First Name
Last Name
Email
*
example@example.com
Date of Birth
*
-
Month
-
Day
Year
Date
Height
*
Weight
*
Which are the reasons you wants a PT?
*
Weight loss
Gain Muscle mass
Stay heathy /be healthy
Improve confidence
Other
Other
What is your fitness level.
*
Beginners
Intermediary
Advanced
Tell us more about your fitness level.( optional)
What types of exercises you like?
*
Resistance training
Functional exercises
HIT exercises
Body weight training
Classes
Lifting
Crossfit
I don’t know
Others
How many times a week you train/ wants to train?
*
Twice a week
3 times a week
4 times a week
5 or more times a week
Other
How many times a week you would like to train with personal trainer?
*
Twice a week
3 times a week
4 times a week
5 or more times a week
Other
When would you prefer train ?
*
Mornings
Lunch time
Afternoon
Evenings
I agree that I must notify you, of session cancellation by 9pm the day before or I will lose the session. (unless I have exceptional circumstances)
*
I Agree
Nutrition
Being honest , please tell us about your diet.
1 to 5 how do you rate your diet ?
*
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
What do you eat as breakfast ?
What do you eat as lunch ?
What do you eat as dinner ?
What do you eat as snacks ?
Lifestyle, occupation and hobbies:
*
What are your barriers to exercising?
*
Do you meditate?
Yes
No
I would like to practice
Anything else you would like to tell us. (Optional)
Upload an actual photo of you body. (Optional)
Browse photos
Drag and drop files here
Choose a file
Cancel
of
Submit
NUTRITION
Being honest, please tell us about your diet.
Should be Empty: