Personal Training Consultation Questionnaire

My name is Amber, and I am a personal trainer that is passionate about helping people build strength, confidence, and sustainable health habits. Whether you’re just starting out or looking to take your fitness to the next level, I offer personalized training programs designed to fit your goals and lifestyle.

If you’re interested in one-on-one sessions, or customized workout and meal plans, I would love to connect and learn more about how I can support your journey.

My Commitment to You:

I’m here to help you become the strongest, healthiest, and most confident version of yourself. As your personal trainer, my mission is to guide, challenge, and support you every step of the way. This journey isn’t about perfection, it’s about progress, consistency, and showing up for yourself. Together, we will build lasting habits, and crush your goals. You’re capable of more than you think! So let’s make it happen!

Full Name

First NameLast Name

Email

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Gender

Date of Birth

MonthDayYear

Age

Height

Weight

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.

What additional therapies are being undertaken for the given health problem(s)?

If you have any injuries, please list them.

What additional therapies are being undertaken for the given injury?

Do you suffer from diabetes, asthma, high or low blood pressure?

Please list:

Your current diet could be best characterized as:

What is your goal with your training?

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

Are you currently excersising regulary (at least 3x per week)?

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

What are your expectations of me as your Personal Trainer?

This form is as accurate and as specific as possible, and I’m ready to start my journey with Athletics By Amber.

Apply for Coaching with Athletics By Amber