Custom Training Program Questionnaire
Create a personalized training program by answering the following questions.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Age
*
Gender
Male
Female
What are your primary fitness goals?
*
Build muscle
Increase strength
Lose fat
Improve endurance
Enhance overall health
Other
Have you worked with a Personal Trainer or Private Coach before?
Yes
No
How would you rate your current strength training experience?
*
Beginner (less than 6 months)
Intermediate (6-24 months)
Advanced (2+ years)
How many days per week can you commit to exercise
*
Please Select
1 day
2 days
3 days
4 days
5 days
6 days
7 days
What equipment do you have access to?
*
Dumbbells
Barbells
Kettlebells
Resistance bands
Weight machines
Bodyweight only
Other
Please list any injuries, physical limitations, or medical conditions we should consider when designing your program.
Which time(s) of day do you prefer to work out?
Early morning (5-8am)
Late morning (8-11am)
Afternoon (11am-3pm)
Evening (3-7pm)
Night (7-10pm)
On a scale from 1 (not motivated) to 10 (highly motivated), how motivated are you to follow a strength training plan?
*
Not motivated
1
2
3
4
5
6
7
8
9
Highly motivated
10
1 is Not motivated, 10 is Highly motivated
Please provide any additional information, preferences, or specific goals you would like us to know.
Submit
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