Wellness Coaching Questionnaire

Personal Training Questionnaire

(please complete in full)
Full Name

First NameLast Name
Gender
Email
example@example.com
Phone Number
Format: (000) 000-0000.
Age
years
Height
cm
Weight
KG
What do you do for a living?
Whats the activity level at your job?
What is your reason for training?

Other
How many pounds would you like to lose/gain, or what is your health goal?
Do you eat 3 meals a day?
If not, which meals do you skip?
Do you generally snack?
How much water do you drink daily?
What else do you currently drink?
When are you the most tired?

Other
Please rate your readiness for change.
Do you have any health conditions? Please list below
What do you need the most help with?

Other
Are you willing to financially commit to changing your life?
How do you prefer to be contacted?

Other
Thank you for your interest in personal training and online coaching! I can't wait to get you started helping to achieve your goals. I will aim to get back to you within 24 hours!
Should be Empty:

Personal Training Questionnaire