Online Fitness Questionnaire
General
Full Name
Email
Address
Birthdate
Height (Feet, Inches)
Current Weight
Occupation
Daily Schedule/Work Hours
Hobbies
Workout History and Availability
Do you have access to a gym?
Yes
No
If yes, describe your gym and its equipment
How many days per week can you commit to working out?
2 Days
3 Days
4 Days
5-6 Days
What have you done in the past for your workouts? Please describe
How long has it been since you'be been consistently active in a workout routine?
I have never been in a consistent routine
A few months
Over a year
Multiple years
I am currently in a consistent routine
How many hours per day are you able to spend in the gym?
45 min to 1 hour
1 to 1.5 hours
1.5 to 2 hours
2 + hours
Do you currently have any injuries or physical limitations I should know about?
Nutrition and Supplements
Please describe in detail what an average day of food/meals look like for you, times you eat, what, how much
Have you ever tracked your macronutrients before?
Yes
No
I'm not sure what macronutrients are
Do you own a food scale?
Yes
No
Are there any foods you really can't stand to eat or have allergies to?
Back
Next
What are your goals? Select all that apply
Lose Body Fat
Tone
Build Some Muscle
Build a Lot of Muscle
Lose Weight
Improve Health
More Energy
Improve Flexibility and Balance
Build Strength
Improve Stamina/Endurance
Gain Weight
Please describe your fitness goals, be as detailed as you can
What is motivating you to want to achieve these goals? Select all that apply
Look and Feel Better
Improve Health
Gain Confidence
Fit into Clothes Better
Prevent Health Problems
Wedding or Personal Event
Other
Please describe what is motivating you to want to achieve these fitness goals
Why do you want to work with me?
Let me know your expectations of me as your coach
Do you have any questions or me?
How did you hear about me?
Friend Referral
In Person
Facebook
Instagram
Proedgefit.com
Please upload 3 photos of your current physique, front, back and side. Its important to document your results with photos, and will help me program your training seeing where you currently are.
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