Personal Training Consultation Form

Personal Training Consultation Form

Please fill in all the details and I look forward to getting started with you!
Full Name

First NameLast Name
Gender
Date of Birth

MonthDayYear
Height
ft
Weight in Lbs
If unknown that's okay
Phone Number

Area CodePhone Number
Email
example@example.com
How do you prefer to be contacted?
What do you do for a living?
Whats the activity level at your job?
Do you follow a regular working schedule?
Please list the physical activities that you participate in outside of the gym and work:
If you have any diagnosed health problems list the condition(s).
If you are on any medications, please list them.
If you have any injuries, please list them.
Are you experiencing any stresses or motivational problems?
Do you suffer from diabetes, asthma, high or low blood pressure?
If yes please list:
Please rate your readiness for change.
Which of the following best suits your goals?
Why?

Timeline for achieving your goal.

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

Are you currently excersising?
At what times during the day would you prefer to train?
Is it okay to post photos and videos to social media of training and/or progress photos?
Are you okay with Progress Photos (taken personally)?
What are your expectations of me as your Personal Trainer?
Thankyou!
Should be Empty:

Thankyou!