Awrad AlHabib’s Private Personal Training Consultation Questionnaire

Please fill out the form below to provide your information. Once the form is successfully submitted, your details will be reviewed and you'll be contacted shortly to discuss your personlized workout plan.

Full Name

First NameLast Name

Phone Number

Please enter a valid phone number.

Date of Birth

MonthDayYear

Age

years

Height

cm

Weight

KG

Whats the activity level at your job?

What is your fitness level?

How many steps do you walk in a day?

How much sleep do you get a night, on average?

How much water do you drink throughout the day?

What is your target weight?

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 are on any medications, please list them.

If you have any injuries, please list them.

Do you suffer from diabetes, asthma, high or low blood pressure?

Please list:

Your current diet could be best characterized as:

What following goals does best fit in with your goals?

What is your fitness goal?

Which areas would you like to focus on?

TImeline for achieving your goal.

Rows	1 Month	2 Months	3 Months	4-6 Months
NOW

How often are you willing to train a week to reach your goal?

1.) GYM MEMBERSHIP

You must have an active gym membership, this ensures you have access to the necessary equipment and facilities to complete the exercises and routines effectively.

2.) ALL THE INFORMATION I HAVE GIVEN IS CORRECT

All the information on this form is correct and to the best of my knowledge. I have sought and followed any necessary medical advice. I understand that all the information given will be kept confidential.

3.) WHEN WILL YOU RECEIVE YOUR PERSONALIZED PLAN?

Clients should allow adequate time for me to develop their personalized workout plan. This ensures the plan is both effective and uniquely tailored to meet their individual fitness goals and needs.

I AGREE TO THE ABOVE TERMS & CONDITIONS!

Signature

Personalized Workout Plan Questionnaire