New Client Questionairre
Personal Information
Name
First Name
Last Name
Date
-
Month
-
Day
Year
Date
Birthday
-
Month
-
Day
Year
Date
Email
example@example.com
Phone Number
Please enter a valid phone number.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Fitness Goals
What are your top fitness goals? (Ex. weight loss, muscle gain, flexibility, edurance)
What is your target time frame to achieve these goals?
Are there specific areas you would like to improve? (Ex. strength, agility, balance)
Current Fitness Status
What is your current fitness level?
Beginner
Intermediate
Advanced
What does your current fitness routine look like, if any?
Have you previously worked with a personal trainer?
Yes
No
If yes, please describe your experience.
Health + Medical History
Any current or past injuries. If yes, please explain.
Are you currently taking any medications? If yes, please list them.
Are there any medical conditions that I should be aware of?
Nutrition + Supplements
Are you currently taking any supplements? If yes, please list them.
Do you follow a specific diet or have any dietary restrictions?
Training Preferences
What is your monthly budget for training?
Less than $500
$500-$1000
+$1000
Do prefer virtual or in person training sessions?
In person
Virtual
Best days for you to workout?
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Best time of day for you to workout?
Morning
Afternoon
Evening
How many times per week are you looking to train?
1-3
3-5
5-7
Mindset + Commitment
How committed are you on achieving your fitness goals?
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
What motivates you to stay consistent with your fitness routine?
What challenges do you face while maintaining a fitness routine?
Referral + Expectations
How did you hear about me? If someone referred you, please list their name.
What are your expectations from a personal training program?
Is there anything else you would like to share with me about your fitness journey, expectations, etc?
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