Personal Information
What's your Name?
*
First Name
Last Name
Date of Birth
*
-
Day
-
Month
Year
Date
Gender (Select one)
*
Please Select
Male
Female
Non-Binary
Prefer not to say
Phone Number
*
Please enter a valid phone number.
Format: +65 0000 0000.
Email
*
example@example.com
Preferred Method of Contact?
*
Telegram
Whatapps
Other
Current Exercise Habits
Do you currently exercise regularly?
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Yes
No
Please describe your current routine (type of exercise, frequency, duration)
*
What factors have prevented you from exercising?
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Which gyms or facilities in Singapore are you currently using?
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Condo gym
ActiveSG
Anytime fitness
Pure fitness
Fitness first
Virgin Active
24/7 fitness
Other
Past Training Experience
Have you worked with a personal trainer or coach before?
*
Yes
No
Share what worked well and what didn’t.
*
Primary Fitness Goals
What are your fitness goals?
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Muscle gain
Fat loss
Build Strength
Body recomposition
Overall health improvement
Other
List down your Short-Term Goals (within 3–6 months)
*
List down your Long-Term Goals (6 months and beyond)
*
Injury History & Medical Conditions
Have you experienced any injuries in the past?
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Yes
No
Describe your Injuries , when it occurred, and any ongoing limitations.
*
Have you undergone any physiotherapy or rehabilitation?
*
Are you cleared by a medical professional to exercise?
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Yes
No
Other
What's doctor or physiotherapist recommendation?
*
Do you have any movement restrictions advised by your doctor or physiotherapist?
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Yes
No
Other
Sleep Habits
How many hours of sleep do you typically get each night?
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1-3hrs
3-6hrs
6-8hrs
8+hrs
Any sleep disruptions due to work stress, shift work, or other factors
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Yes
No
Current Fitness Level
How would you describe your current fitness level?
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Beginner
Intermediate
Advanced
Nutrition Habits
How often do you eat out (hawker centres, restaurants, food courts)
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1-2 times a week
2-3 times a week
3-4 times a week
4-5 times a week
Everyday
How would you describe your current nutrition habits?
*
Do you track macronutrients or calories?
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Yes
No
Any dietary restrictions (Halal, vegetarian, vegan, etc.) or food allergies?
*
Are you okay to meal prep ?
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Yes
No
Availability
What days and times are you available for training?
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Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Preferred time of day?
*
7am -8am
8am-9am
9am-10am
10am -11am
11am-12pm
12pm -1pm
1pm-2pm
2pm-3pm
3pm-4pm
4pm-5pm
5pm-6pm
7pm-8pm
Is your schedule flexible or fixed?
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Flexible
Fixed
Do you travel frequently
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Yes
No
Preferred Coaching
What type of coaching do you prefer?
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1-to-1 In-Person Training
Online Coaching
Buddy Training (Partner or small group)
Which place do you want to train?
*
ActiveSG
Condogym
Other
Commitment Level
On a scale of 1–5, how committed are you to achieving your goals?
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Not at all
1
2
3
4
Very Commited
5
1 is Not at all, 5 is Very Commited
What obstacles (time, motivation, family, finances) might hinder your progress?
*
Are you open to regular check-ins and lifestyle adjustments (sleep, nutrition)?
*
Yes
No
Who should we contact in case of an emergency?
Name of Emergency Contact
*
First Name
Last Name
Relationship
*
Please Select
Spouse
Parent
Sibling
Friend
Emergency Contact Number
*
Please enter a valid phone number.
Format: 65+ 0000 0000.
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