PT Questionnaire

Name *

First Name

Last Name

Birthday *

Please include the month, day and year.

MM

DD

YYYY

What are your main reasons for starting a fitness program? *

General conditioning

Muscular strength

No time

Weight /fat loss

Aerobic fitness

Appearance

Stress management

Flexibility

Improve self-esteem

Other

Have you ever done any structured exercise? *

Yes

No

Fitness Level *

Choose your current fitness level

Beginner

Intermediate

Advanced

Preferred Training Time *

Please choose the sessions you are available to workout

Sunday 10:45-11:30AM (Beginner)

Sunday 12:00-1:00PM (Intermediate/Advanced)

Have you ever been advised by a physician to avoid any type of exercise? *

Yes

No

Have you had a major illness or injury in the last 5 years *

Yes

No

Would you like a meal plan? *

Yes, I would like a meal plan as well as the workouts

No, I just would like to workout

Are you interested in weight loss or gaining healthy weight?

Weight loss

Gaining healthy weight

Are you any of the following:

Vegan

Vegetarian

Pescatarian

Do you prefer eating frequently or Intermittent fasting?

Eating frequently

Intermittent Fasting

I can confirm that I have answered all questions to the best of my ability. *

Yes