Fitness Questionnaire
Please complete this form to help us understand your fitness goals and current health status.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Preferred Training Format
*
Online
In Person
Both
What are your primary fitness goals?
*
How would you describe your current activity level?
*
Sedentary (little or no exercise)
Lightly active (light exercise/sports 1-3 days/week)
Moderately active (moderate exercise/sports 3-5 days/week)
Very active (hard exercise/sports 6-7 days a week)
Other
Do you have any medical conditions, injuries, or physical limitations?
Are you currently taking any medications?
What is your age?
*
Is there anything else you’d like your trainer to know?
Submit Questionnaire
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