Personal Training Consultation Form
Please fill out your details and goals to help us tailor your training plan.
Full Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Email Address
*
example@example.com
Age
*
Current Body Weight (kg)
*
Height (cm)
*
Body Mass Index (BMI)
Occupation
Daily Activity Level
Please Select
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/week)
Extra active (very hard exercise & physical job or 2x training)
Main Reason for Seeking Personal Training
*
Primary Goal
*
Secondary Goal (if any)
Motivation for Training
Brief Overview of Current Eating Habits
Any Known Allergies or Intolerances
Are you willing to complete a food diary if relevant?
Yes
No
Not sure
Previous Exercise Experience
Types of Activities Previously Enjoyed
Types of Activities Previously Disliked
Current Exercise Routine (if any)
Perceived Barriers to Exercise
Time
Motivation
Access to facilities/equipment
Injury or health concerns
Lack of knowledge
Other
Support Systems (e.g., family, friends)
Additional Information
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