Pre Training Consultation Questionnaire
Understanding your health history is essential for a safe and effective program. Please complete this questionnaire accurately. Your safety and progress are my priorities—reach out if you have any questions!
Part 1. Basic information
Full Name
*
First Name
Last Name
Gender
*
Male
Female
Date of Birth
*
Please select a month
January
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Month
Please select a day
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Day
Please select a year
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Year
Part 2. Lifestyle Information
What is your current occupation?
*
Are you currently participating in any sports or athletic activities?
What does your daily routine look like? (e.g., work, activity levels, sleep)
Part 3. Medical and Health Information
Are you currently dealing with any injuries or physical limitations?
Yes
No
Please provide details below.
Are you currently under medical supervision or taking any medications?
Yes
No
Please provide details below.
Do you have any chronic conditions (e.g., asthma, diabetes, heart issues)?
Yes
No
If Yes Please list:
Part 4. Goals
Please rate your readiness for change.
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What is your goal with your training? Why?
How often are you willing to train a week to reach your goal?
Please rate your motivational level to do what it takes for reach your goal.
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Are you currently excersising regulary (at least 3x per week)?
Yes
No
Have you trained with a coach before?
Yes
No
At what times during the day would you prefer to train?
Morning
Mid-Day
Afternoon
Evening
Other
What do you expect from this coaching experience?
Thank you for sharing your information!
It's essential for creating a safe and tailored training experience. All details will remain confidential and are used solely to understand your health history.
Please sign below to confirm that all the information provided is accurate and complete.
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