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BBM Client Intake Questionnaire
I ask the following questions to get a better understanding of your history and goals to personalize your workout programming. Please get as specific as you can.
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Name *
E-mail *
Phone Number
How many times a week do you want to do in-person training with me?
What day and times are you available for in-person training?
Age, height, weight, activity level (be specific and take your occupation into account)
Do you have any injuries new or old? Medical issues/health conditions that could affect training?
What are your short and long term fitness goals? Please be specific.
What has stopped you in the past from achieving these goals?
Do you currently workout? If yes, how often and what time of day?
Do you have access/membership to a gym?
Clear selection
What equipment, if any, do you have access to? i.e. dumbbells, glute bands, long resistance bands
What are your strengths and weaknesses in the gym or when working out?
What are you looking for in a trainer?
Do you count your daily steps?
Do you smoke/drink? How much?
On average, how many hours of sleep do you get nightly?
Approximately, how much water do you drink daily?
On a scale from 1-10, 10 having very good knowledge, where would you say your knowledge of fitness and nutrition is at?
CANCELATION POLICY: Cancelations the day of your session or the night before (9pm+) will result in a fee of your full session’s rate. If rescheduling the week of is possible, then the fee may be waived. In the event of a true, unavoidable emergency or medical emergency, cancelation fee may be waived.  *
Required
I AM VOLUNTARILY PARTICIPATING IN PERSONAL TRAINING AND I AM PARTICIPATING IN THE ACTIVITY ENTIRELY AT MY OWN RISK. I AM AWARE OF ANY RISKS ASSOCIATED WITH PERSONAL TRAINING. I AGREE THAT MICHELLE MENECHYAN IS NOT HELD RESPONSIBLE OR LIABLE FOR ANY INJURIES THAT MAY HAPPEN DURING PERSONAL TRAINING. *
Required
How did you hear about me? i.e. Instagram, referral, I train your friend *
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