Personal Training & Online Consultation Questionnaire
This will take you 5-10 minutes. We appreciate you being as detailed as possible so we have a deeper understanding of you and your fitness goals. We will be in contact with you within 24-48 hours, to schedule a live or in-person consult. You can view more information on our services on our website at: www.nextlevel907.com.
Full Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Gender
Male
Female
Date of Birth
Please select a month
January
February
March
April
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December
Month
Please select a day
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Day
Please select a year
2026
2025
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Year
Age
years
Height
cm
Weight
KG
What do you do for a living?
What is your primary goal?
Fat Loss)
Build Muscle
Improve Performance
Improve Relationship with Food
Competitive Bodybuilding
Workout Programming Only
What are your short and long term goals?
What does your current diet look like? If you track macros or follow a meal plan, please provide an example of your current/recent macros/meal plan. If you don't, please provide an example of your day of eating.
What foods do you enjoy? What foods do you not enjoy? Do you prefer carbs over fats, or like both?
What is your current workout activity (ie include walking, tracking steps, running, group workouts)? Include how many days a week.
How would you describe your current digestion overall? Please provide any current or past issues.
How would you describe your overall sleeping pattern? How many hours a night on average, are you getting? Please provide any current or past issues with details as to what you are currently doing to help with aiding in better sleep (if any).
Please list any contraindications to exercise or previous injuries we should be aware:
What roadblocks do you think or know of that will keep you from staying consistent in reaching your goals and what tools have you used in the past to get you back on track:
Are you experiencing any stresses or motivational problems?
Yes
No
Do you suffer from diabetes, asthma, high or low blood pressure?
Yes
No
Please list:
Are you a current cigarette smoker?
Yes
No
Please rate your readiness for change.
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TImeline for achieving your goal.
Rows
8 WKS
16 WKS
24 WKS
32 WKS
40 WKS
1 YEAR
NOW
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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Have you checked our website for our services and rates? Please make sure before committing to a consultation, that this investment is affordable: www.nextlevel907.com.
Yes
No
Have you trained with a personal trainer before?
Yes
No
What kind of training did you do?
At what times during the day would you prefer to train?
Morning
Mid-Day
Afternoon
Evening
How often do you want to do Personal Training a week?
Please Select
1 Session
2 Sessions
3 Sessions
4 Sessions
5 Sessions
6 Sessions
7 Sessions
Please Choose
What are your expectations on me as your Personal Trainer?
Are you wanting in-person training or online (trainer app is available):
PT (1:1 / 1 hour a session) Package Options (select the package you are interested in)
1 day a week ($300 a month / $75 a session)
2 days a week ($560 a month / $70 a session)
3 days a week ($780 a month / $65 a session)
4 days a week ($960 a month / $60 a session)
PT (Small Group up to 1:4 / 1 hour a session) Package Options (select the package you are interested in)
2 days a week ($280 per person)
3 days a week ($540 per person)
Submit
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