Goal Setting & lifestyle
Name
First Name
Last Name
Fitness goals
What are your goals?
Overall goals?
Sports specfic
Hypertrophy
Strength
Body composition
Pre or Post natal
Female Specific Training
Nutrition/Diet
Is there a specific area you would like to train?
Legs
Stomach
Back
Arms
Chest
Glutes
Time frame you expect to see results?
1-2 Months
3-6 Months
6-12 Months
12+ Months
What is your pain points of the gym?
Do you have a date you need to achieve your goal by?
Yes
No
If yes, What date?
How would you describe your current knowledge of exercise & nutrition?
Please Select
Beginner
Some knowledge
Confident
What is your current training like?
No training
Inconsistent
Ineffective
Consistent
What do you believe will help you achieve your goals?
How motivated are you to achieving your goals? 5 being the most
1
2
3
4
5
What, if any, are expected barriers that may hinder your exercise program? (Long hours, Lack of time, etc.)
Lifestyle
Occupation
What is your working week in hours?
How do you send most of your time at work?
Sitting
Standing
Driving
Active
When you wake up, are you?
Tired and struggle to get going?
Ready to take on the day?
How would you describe your life?
Highly stressful
Moderately stressful
Low in stress
How would you describe your current body?
Underweight
Ideal
A little overweight
Overweight
What does your day look like? from wake up, work times, afternoon activities, meals and sleep?
How would you describe your current activity level?
Sedentary
Moderatley active
Active
Highly active
How would you describe your fitness level?
Unfit
Somewhat fit
Fit
Highly fit
Have you ever had a personal trainer?
Yes
No
Do you currently exercise? If no Skip to the last question regarding access!
Yes
No
How long have you been training?
Weeks
Months
A year
Over a year
How often do you train?
1-2 times a week
3-4 times a week
5-6 times a week
Everyday
Types of exercise you do?
How long do you train for?
Where do you exercise?
Gym
Home
Swimming pool
Other
What time would you usually train?
Morning
Midday
Afternoon
Evenings
Do you play any sports?
What equipment do you have access to?
Submit
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