Personal Training Pre-Screening Form
Please provide detailed information about your health and fitness objectives to help your personal trainer tailor the program to your needs.
Full Name
First Name
Last Name
Email Address
example@example.com
Phone Number
-
Area Code
Phone Number
Date of Birth
-
Day
-
Month
Year
Date
Age
Occupation
How active is your job
Mostly sitting
A bit of movement
Mostly moving
Always moving
Current Fitness Level
Beginner
Intermediate
Advanced
Medical History and Health Conditions
Fitness Goals and Objectives
Any Injuries or Physical Limitations
Additional Information or Concerns
Back
Next
Have you work with a Coach previously
Please Select
Yes
No
How long are you wanting your training sessions to be
30 minutes
45 minutes
60 minutes
60+ minutes
Have you followed a training program before?
Please Select
Yes
No
How many training sessions do you want to do each week
Please Select
2
3
4
5
Submit
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