Personal Training Consultation Form
Please fill out this form to help me understand your goals and prepare for your personal training consultation.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Age
*
Instagram Handle
What is your current fitness level?
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Beginner
Intermediate
Advanced
Other
How would you describe your recent training consistency ?
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I haven’t trained regularly in a while
I occasionally train
I train consistently (3+ days/week)
Do you currently exercise? If yes, what, how often, and for how long?
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What are your primary fitness goals? (Select all that apply)
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Weight loss
Muscle gain
Improve endurance
Increase flexibility
General health
Other
Why are these goals important to you? (your "why")
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What’s prevented you from reaching your goals in the past?
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Do you have any medical conditions or injuries?
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No
Yes (please specify)
Are you currently taking any medications that may affect your energy, training ability, metabolism, pain, or blood pressure?
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No
Yes (please specify)
Occupation & Typical day ? (Describe your work and how active you are)
*
Quality of sleep?
*
Please Select
5-6 hr
7-8 hr
9+hr
How would you describe your current nutrition habits?
*
Back
Next
How many days a week can you realistically commit to training?
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2-3 days
3-4 days
5-6 days
Preferred training times
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Morning (6am-10am)
Midday (10am-2pm)
Afternoon (2pm-6pm)
Evening (6pm-9pm)
Other
On a scale of 1-10, how committed are you to making changes to reach your goals?
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Is there anything that can stop you from achieving your goals?
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What would make this training successful for you?
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Have you worked with a personal trainer before?
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No
Yes - what worked / didn’t work?
Please share anything else you'd like your trainer to know
I confirm that the information I've provided is accurate and understand that training involves physical activity.
*
Continue
Continue
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