Physical Fitness Survey
Personal Information
Parents Name
*
First Name
Last Name
Athletes Name
*
First Name
Last Name
Age
*
Gender
*
Please Select
Female
Male
Other
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Perfered Method of contact
*
Please Select
Email
Text
Calls
Current Physical Activity Level
What types of physical activities do you currently participate in? (e.g., walking, running, weightlifting, yoga)
*
On average, how many days per week do you engage in physical activity?
*
0-1 days
2-3 days
4-5 days
6-7 days
How would you describe your current fitness level?
*
Sedentary
Low
Moderate
High
Health and Lifestyle
Do you have any existing medical conditions or health concerns that may affect your ability to exercise?
*
Yes
No
Are you currently taking any medications that may impact your physical activity?
*
Yes
No
Do you have any specific fitness goals or objectives?
*
Preferred Exercise Environment
Where do you prefer to exercise?
*
Gym/Fitness Center
Outdoors
Home
Other
What time of day do you prefer to engage in physical activity?
*
Morning
Afternoon
Evening
Other
What days of the week are you available for physical activity
*
Technology and Fitness Apps
Do you use any fitness tracking apps or devices?
*
Yes
No
Would you be interested in personalized fitness recommendations through a mobile app or online platform?
*
Yes
No
Feedback on Exercise Programs
Have you participated in any specific exercise programs in the past?
*
Yes
No
What factors motivate you to continue with an exercise program?
*
Additional Notes & Comments
Submit
Should be Empty: