Training Consultation Form

Consultation Form

Answer a few questions about your goals, health, and current routine so I can tailor your training plan.
Full Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Emergency Contact Name

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
What are your primary fitness goals?

Other
Please describe your specific fitness goals in more detail.
How would you describe your current activity level?
Do you have any medical conditions or injuries?
If yes, please list your medical conditions or injuries.
Are you currently taking any medications?
If yes, please list your medications.
Have you had any surgeries or hospitalizations in the past 5 years?
If yes, please provide details.
Do you have any allergies?
If yes, please list your allergies.
Do you smoke?
Do you drink alcohol?
How many days per week would you like to train?
What is your preferred time to train?
Do you have access to a gym or home equipment?
What types of exercise do you enjoy?

Other
Are there any exercises or activities you dislike or wish to avoid?
Do you have any dietary restrictions or nutrition goals?
Is there anything else you would like your trainer to know?
Should be Empty: