Are we a good fit?
Please fill out this form if you are interested in 1 on 1 Personal Training to see if we are a good fit.
FIRST NAME
LAST NAME
Email
example@example.com
Phone Number
Kindly share your height (inches), weight (pounds), age, and waist measurement (in inches at the belly button), one after another with commas between each.
Back
Next
FITNESS GOALS
It's time to revisit the goals we outlined during our initial consultation.
What is important to you right now?
Fat Loss
Muscle Building
Getting Stronger
Improved General Health
Improve Endurance
Lifestyle Transformation
Other
If you have any, what are your specific timeframe for achieving your goals?
Back
Next
TRAINING
What is your training experience?
Beginner (0-1 year in the gym)
Intermediate (2-3 years in the gym)
Advanced (4+ years in the gym)
Do you currently train at least 3x/week?
Yes
No
If you answered yes to the previous question, could you provide me with an overview of your exercise history? This includes details on programs, challenges, training splits, routines, any sports played, and your cardio activities.
Have you tried to reach your goal in the past? What were the things that worked and what didn’t?
What part of your body do you dislike and want to improve?
Back
Next
NUTRITION
Do you have any allergies or dietary restrictions that we need to consider? If yes, please list them below.
How would you rate your current eating habits out of 10?
Roughly how many meals do you consume per day?
2
3
4
5+
Please list any dietary PREFERENCES (plant-based, gluten-free, lactose-free/dairy free, low-carb/high-carb, low-fat/high fat, no pork, etc).
If they can contribute to improved results and better health considering your schedule and lifestyle, would you be willing to invest in protein powder and other supplements?
Yes
No
Back
Next
GENERAL INFO
Do you have a gym in your building?
Yes
No
How many days can you confidently be in the gym?
1
2
3
4
5
6
7
What do you do for work?
What level of physical activity is required for your job?
Low
Moderate
High
What part of NYC are you located in?
What time of day are you looking to train?
How often do you drink?
Never
Sometimes
Often
Every week
Every day
How would you drink when you do?
One glass of wine, beer, etc.
Two glasses of wine, beer, etc
Heavy; Intoxicated
How would you rate your sleeping habits out of 10?
How many steps would you say you get on average/day?
3-5k
5-8k
8-10k
10k+
Back
Next
INJURIES, ACHES & PAINS
Please share any injuries from the past or any ongoing ones that might impact your training or mobility. I want to be aware of anything that could affect your ability to move well.
If yes, are any therapies currently being taken for the current health concern(s)? If none, Please type N/A
Do you suffer from any of the following?
Diabetes
Asthma
High Blood Pressure or Low Blood Pressure
Depression
Anxiety
Regular Headache
Dizziness
Shortness Of Breath
Chest Congestion
Difficulty Breathing
Regular Illnesses
Acne
Disordered Eating/Binge Eating
Compulsive Eating
Excessive Rapid Weight Gain
Regular Fatigueness
Hyperactivity, Restlessness
Back
Next
ALMOST THERE....
What do I need to know to keep you motivated?
Is there anything else we need to know that we haven't covered in this questionnaire?
Submit
Should be Empty: