Home
Mission Statement
Pricing
Contact Us
Store
Motivational Videos
Approved Foods
Blog
LOGIN
Personal Training Questionnaire
All fields with an * are required.
Δ
FULL NAME
PHONE NUMBER
BIRTHDATE
GENDER
- Select -
Male
Female
HEIGHT
WEIGHT
DO YOU HAVE A GYM MEMBERSHIP?
- Select -
Yes
No
HOW MANY DAYS PER WEEK CAN YOU REALISTICALLY COMMIT TO WORKING OUT?
- Select -
1
2
3
4
5
6
7
WHICH DAYS OF THE WEEK CAN YOU WORKOUT?
Choose Days..
MONDAY
TUESDAY
WEDNESDAY
TRURSDAY
FRIDAY
SATURDAY
SUNDAY
DO YOU HAVE ANY ISSUES TRACKING EVERYTHING YOU EAT?
- Select -
Yes
No
DO YOU PREFER TO WORKOUT IN THE MORNING OR IN THE EVENING?
- Select -
Morning
Evening
WHAT ARE YOUR FITNESS GOALS?
- Select -
Weight Loss
Muscle gain
To eat better and feel better
Other
EXPLAIN YOUR FITNESS GOAL
ON A SCALE OF 1 - 10 WHAT IS YOUR CURRENT LEVEL OF WEIGHT LIFTING EXPERIENCE?
- Select -
1
2
3
4
5
6
7
8
9
10
ARE THERE ANY FOODS THAT YOU ABSOLUTELY DON'T EAT?
DO YOU HAVE ANY MEDICAL CONDITIONS I SHOULD KNOW ABOUT?
DO YOU HAVE ANY EXISTING INJURIES OR PAINS IN YOUR BODY?
DO YOU HAVE ANY FOOD ALLERGIES?
- Select -
Yes
No
DO YOU HAVE A DESK JOB, OR ARE YOU MOVING AROUND AT WORK?
- Select -
Desk job
Moving around at work
HOW MANY HOURS OF SLEEP DO YOU GET A NIGHT?
- Select -
4 hours or less
5-6 hours
7-8 hours
HOW MANY HOURS AND DAYS PER WEEK DO YOU WORK OUT CURRENTLY?
HOW MUCH WATER DO YOU CONSUME THROUGHOUT THE DAY?*
DO YOU DRINK ALCOHOL?
- Select -
Yes
No
DO YOU SMOKE?
- Select -
Yes
No
Get Started
