Personal Training Questionnaire

Personal Training Questionnaire

Our personal training program is designed to provide individualized exercise guidance based on your goals, health status and experience. During your initial session, you will meet with one of our certified personal trainers to discuss your goals and learn exercises tailored to your needs. You will get a written program to follow independently, with follow-up sessions scheduled as needed for evaluation and program adjustments.
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Best way to contact:
Gender
Date of birth (minimum age of 14)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Height
Weight
Being physically active is safe for most individuals. Some people should consult a healthcare provider before increasing their activity level. The following questions help identify whether medical guidance is recommended.
Has a doctor every advised you to participate only in medically supervised or restricted physical activity due to a heart condition?
Do you experience chest discomfort, tightness or pain during physical activity?
In the past month, have you experienced chest pain while at rest?
Have you ever lost consciousness for any unexplained reason?
Have you ever experienced dizziness or loss of balance for reasons not clearly explained by a medical professional?
Do you have any bone or joint conditions that could be aggravated by increased physical activity?
Are you currently taking any medications for blood pressure, heart conditions or other cardiovascular concerns? (e.g., ACE inhibitors, ARBs, beta-blockers)?
Is there any other medical reason you are aware of that would prevent you from safely engaging in physical activity?
If you answered "yes" to any question, are over 40, have been inactive, or have concerns about your health, please consult a physician before increasing your physical activity. Ask for medical clearance and any recommended exercise limitations.
What is your current activity level?
What is your preferred type of exercise?
How often do you currently exercise?
Do you have any health concerns, injuries, medications or conditions your trainer should be aware of?
Include recent or current injuries, personal or family history of disease, pregnancy, etc.
Which of the following best describes your exercise goals? (Check all that apply)
If you selected other, please describe:
Where do you plan to complete most of your workouts?
How many days per week would you like to workout?
What are your preferred training times? (Check all that apply)
Is there anything else you would like your trainer to know?
Do you have a preferred trainer?
Should be Empty:

Personal Training Questionnaire

Being physically active is safe for most individuals. Some people should consult a healthcare provider before increasing their activity level. The following questions help identify whether medical guidance is recommended.

If you answered "yes" to any question, are over 40, have been inactive, or have concerns about your health, please consult a physician before increasing your physical activity. Ask for medical clearance and any recommended exercise limitations.