Personal Training Application Form

Full Name

First NameLast Name

Gender

Date of Birth

MonthDayYear

Age

years

Height

cm

Weight

KG

What do you do for a living?

Whats the activity level at your job?

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.

Are you experiencing any stresses or motivational problems?

Your current diet could be best characterized as:

What following goals does best fit in with your goals?

What is your goal with your training?

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

Have you trained with a personal trainer/had online coaching before?

If yes what kind of training did you do? Tell me briefly about your experience

Do you currently weight train/have weight training experience? If so, what was your training format?

At what times during the day would you prefer to train?

Are you applying for Personal Training sessions or Online Caoching?

How often do you want to do Personal Training a week? If applying for Online Coaching, skip this)

Please Choose

What is your relationship like with food?

Do you currently track your food or calories intake (e.g.myfitnesspal)? If so, how many calories are you on?

If required, are you willing to change your diet and commit according to your goals?

What are your expectations on me as your Personal Trainer?

This process is not a quick fix and will take commitment and consistency alongside working with me, are you willing to put in the work to get the results you want?

Email address

Mobile number

A 24 hour cancellation policy applies for any booked sessions.

I AGREE TO THE ABOVE TERMS & CONDITIONS!