Fitness Trainer Questionaire
Disclaimer: Thank you for your interest in being a client of Accountability Fits You. This form is used to collect information about new clients and used for internal purposes only. The information you provide is confidential and will be treated accordingly.
Full Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Gender
Male
Female
Age
years
Height
cm
Weight
KG
What do you do for a living?
Whats the activity level at your job?
None(seated only)
Moderate (light activity such as walking)
High (heavy labor, very active)
Please list the physical activities that you participate in outside of work:
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.
Your current diet could be best characterized as:
Eating too much
Not eating enough
Portion my food correctly
Need help with diet
No special diet
What is your goal?
Improved health
Improved endurance
Increased strength
Increased muscle mass
Fat loss
Are you currently exercising?
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
Are you looking for:
Please Select
One on One
Small Group
Both
How often do you want to do train in a week?
Please Select
1 Session
2 Sessions
3 Sessions
Please Choose
Would you like to schedule a free consultation?
Yes
No
Submit
Should be Empty: