Online Personal Training Consultation Questionnaire

Online Coaching & Personal Training- Onboarding Questionaire

Passion, drive and good vibes!
Full Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Gender

MaleFemalePrefer not to sayOther
Date of Birth

MonthDayYear
Age*
years
Height
cm
Weight
KG
What do you do for a living?
Whats the activity level at your job?

none(seated only)Moderate (light activity such as walking)High (heavy labor, very active)
Please list the physical activities that you participate in outside of the gym and outside of work, eg cycling, team sport,running?:
Do you have any diagnosed health problems? If yes, please list the condition(s).
If you are on any medications, please list them.
Do you have any injuries? if yes, please list them.
What additional therapies are being undertaken for the given injury?
Do you suffer from diabetes, asthma, high or low blood pressure?

YesNo
Please list:
Are you using any hormonal birth control? If yes what type?
Are you a current cigarette smoker?

YesNo
What of the following best fit in with your goals?

Improved healthImproved enduranceIncreased strengthIncreased muscle massFat loss
How often are you currently exercising?

Not at all1-2 times a week3-4 times a week5 times or more a week
What is your main goal with your training? (build legs, increase endurance, etc)
How often are you willing to train a week to reach your goal?
Please rate your motivational level to do what it takes for reach your goal. (1 not at all, 10 super motivated)

12345678910
Are you looking for Online Coaching or Personal Training

Online CoachingPersonal TrainingCombined Training (both)
Have you trained with a personal trainer before or followed a fitness plan?

YesNo
What kind of training did you do?
What are your expectations of me as your Personal Trainer?
Are you happy to have some of our session recorded for social media?

Yes, no problem!No thank youMaybe later, ask me again
Are you happy to track your calories via MyFitnessPal to aid in weight management?

YesNo
Are you happy to track your menstral cycle to help with planning your Training?

YesNo
Are you Perimenopausal or Postmenopausal?
How many days are you available to exercise per a week?
Please Choose
What equipment do you have in your gym (or at home)?
Is there anything else you would like to share?
ALL THE INFORMATION I HAVE GIVEN IS CORRECT

All the information on this form is correct and to the best of my knowledge. I have sought and followed any necessary medical advice. I understand that all the information given will be kept confidential.
Client Signature

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Online Coaching & Personal Training- Onboarding Questionaire