Training Questionnaire
Form provides me with the necessary information on you and your goals. So we can better serve you, helping us to create a plan specific to your goals. Please fill out with complete details
Name
*
First Name
Last Name
Age
*
Email
*
example: @example.com
What is your best contact number
*
Please enter a valid phone number.
Instagram @
example: @labofdreamz
Where are you located
Weight
Do you have a goal weight?
Which service are you interested in?
*
1 on 1 in-person
Semi-Private (2-4 people)
Online Personal Training
If you're interested in in-person training what do you prefer?
Mornings
Afternoons
Evenings
I'm Flexible
Have you worked with a personal trainer before?
*
Yes
No
If "YES" please share why you stopped
Describe your eating habits?
*
Do you take any supplements?
*
Do you drink water?
*
0-1 bottles
1-2 bottles
3-5 bottles
6 or more
Do you have any medical conditions, injuries, pains or physical limitations I need to know about?
*
What type of work do you do ? Is it physically demanding or a desk job?
*
What made you decide to reach out? Do you have and event coming up Birthday, Wedding, Vacation or do you feel tired of how you look and feel?
*
What is your goal?
*
Be specfic
What’s been your biggest struggle, to reach this goal?
How is your life going to change, once you achieve this goal?
*
please be honest
"How would you score your level of commitment to achieving this goal, on a scale of 0 to 10" (where 0 is 'absolutely not' and 10 is 'totally committed')
*
How many days are you will to commit to working out?
*
2-3 days
3-5 days
6 days
whatever is needed
Are you ready to start today?
*
Yes
Longtime ago just need guidance
I think so
Do you need to consult anyone about payment?
*
Yes
No
If "YES" who?
Do you have any questions or concerns?
Lets setup appointment to get you started
*
Submit
Should be Empty: