Training Inquiry

Training Inquiry

Please fill out to the best of your ability.
Full Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Gender

Other
Age
years
Height
FT
Weight
LBS
In-person Training or Online Coach
Whats the activity level at your job?
Are you currently excersising regulary (at least 2-3x per week)?
Have you trained with a personal trainer before?
Do you follow a regular working schedule, do you work days, afternoon or nights?
Please list the physical activities that you participate in outside of the gym and outside of work.
If you have any diagnosed health problems list the condition(s).
If you have any injuries, please list them.
Your current diet could be best characterized as:
Please rate your readiness for change.
Which of the following best fits in with your goals?
What is your motivation for training and why?

Realistic timeline for achieving your goal.

Rows	8 WKS	16 WKS	24 WKS	32 WKS	40 WKS	1 YEAR
NOW

Please rate your motivational level to do what it takes for reach your goal.
At what times during the day would you prefer to train?
How often do you want to train a week?
Please Choose
What are your expectations of me as your Personal Trainer?
ALL THE INFORMATION I HAVE GIVEN IS CORRECT

All the information on this form is correct and to the best of my knowledge. I understand that all the information given will be kept confidential.
I AGREE TO THE ABOVE TERMS & CONDITIONS!
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