FITNESSQUESTIONAIRE
HEALTH RISK FACTORS
1. Do you have any allergies to rubber or lates?
2. Have you ever had trouble breathing/catching breath after exertion?
3. Ankle or joint swelling after exercise?
4. Have ever suffered from fainting spells?
5. Do you use alcohol?
a. How often?
6. Do you have joint problems that might be aggravated by exercise?
7. Any other physical injuries throughout life?
8. Are you on medication that may impair your ability to exercise?
9. Do you need substances to get going in the morning?
i. If so, what type?
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FITNESS QUESTIONAIRE
PHYSICAL ACTIVITY/LIKES & DISLIKES-ii
1. What types of exercises/workout programs have you tried in the past?
2. What types of non-exercise physical activity do you get during the day?
3. What types of exercise do you enjoy most, weight training or cardio?
4. Is there an exercise that you will not do for any reason?
5. Have you ever been put through a program by a trainer?
b. What were the results?
6. Are you opposed to floor work? Ex. Abdominal work, Mountain Climbers, etc.
7. Do you like exercising outdoors?
8. Do you own a stability ball?
9. Can you perform hopping/jumping moves? Ex. Jumping jacks, Dynamic Squats, etc.
10.Do you own resistance bands?
11. What are the weights and quantity of your dumbbells?
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FITNESS QUESTIONAIRE
12.Do you own yoga straps?
GOALS/CONSISTENCY
What are your short- and long-term fitness goals?
Why do you want to achieve these goals? (Examples: general health, injury prevention/rehab, sport -specific training, aesthetic reasons)
Do you have a partner/friend/comrade to assist you in reaching your goals?
How will you benefit from working towards, sticking to, and reaching your goal?
What would be the number 1 reason for not performing or completing a workout?
What do you believe is the number 1 reason why people fail at fitness programs?
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FITNESS QUESTIONNAIRE
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