Personal Training Consultation Form

Personal Training Consultation Form

Please fill in all the details and I look forward to getting started!
Full Name

First NameLast Name
Gender
Date of Birth

MonthDayYear
Age
years
Height
ft
Weight
If unknown that's okay
Phone Number
Format: (000) 000-0000.
Email
example@example.com
How do you prefer to be contacted?
Do you follow a regular working schedule, do you work days, afternoon or nights?
Are you experiencing any stresses or motivational problems?
Do you suffer from diabetes, asthma, high or low blood pressure?
if yes please list:
Please rate your readiness for change.
What following goals does best fit in with your goals?
What is your goal with your training?
Why?

TImeline for achieving your goal.

Rows	8 WKS	16 WKS	24 WKS	32 WKS	40 WKS	1 YEAR
NOW

Are you currently excersising?
Have you trained with a personal trainer before?
At what times during the day would you prefer to train?
Is it okay to post photos and videos to social media of training and/or progress photos?
Are you okay with Progress Photos (taken personally)?
What are your expectations on me as your Personal Trainer?
Should be Empty: