Perfect Hour Fitness
Client Profile Questionnaire
Please fill out following questionnaire to help determine where you're at in your fitness level and how Crys can best help you reach your goals. Please fill it out as best you can.
Name
*
First Name
Last Name
Date of Birth
*
/
Month
/
Day
Year
Date
Email
*
example@yahoo.com
Phone Number
*
-
Area Code
Phone Number
What service are you interested in?
*
Fall Back into Fitness: GFC Virtual Training
In- Person Training (Indoors/ Gym)
In- Person Training (Great Outdoors/ Outdoors)
Nutrition
Current Weight:
*
Goal Weight:
*
Height:
*
Gender
*
Female
Male
How long has it been since you exercised regularly? (2 or more times/week)
*
Please explain your current exercise regimen including all strength training, cardiovascular training or other sporting activities that you perform.
*
Body Type / Activity Level / Goal Information
What are your goals? (Click those that apply)
*
Build Muscle
Loss Body Fat
Gain Strength Production
Increase Flexibility
General Health Maintenance
Nutrition (Food Consumption)
Other
Have you ever followed a specific workout program or diet plan?
*
Current nutritional program, if you (please be specific)? If you are not currently following a program, please note.
*
Do you smoke?
Yes
No
Do you drink?
Yes
No
What motivates you to achieve these goals? (health, injury prevention/ rehab, sport specific training, aesthetic reasons)
*
Is there anything that you feel I would need to know?
*
Submit
Should be Empty: