Request edit access
JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Client Consultation Form
Thank you for your interest for joining my team!
Before I can do any training or give any nutrition advice & help, I need to find out more about you.
Your goals, eating habits, any injuries/illnesses, your history of any training. If you can answer with as much detail as possible & I will be in touch.๐๐
Sign in to Google
to save your progress.
Learn more
Date
MM
/
DD
/
YYYY
Name
Your answer
Date of birth
Your answer
Weight
Your answer
Height
Your answer
Email
Your answer
Mobile number
Your answer
Have you trained with a Personal Trainer before? If YES please give a description below
Your answer
What are your current goals?
Muscle Building
Fitness & Health
To Gain Confidence
To Increase your Strength
Fat loss
Other:
Are you taking part in any physical activity at present? If YES please give a description below
Your answer
What activity level best describes your job rule & any exercise you do?
Sedentary
Moderately active
Active
Very active
Clear selection
Do you currently or previously suffered from any of the following?
Heart problems
Glandular fever
Asthma
COPD
Diabetes
Epilepsy
High blood pressure
Low blood pressure
Liver or kidney condition
Arthritis
Stroke
None
Other:
If you answered 'OTHER' please give any details below
Your answer
Do you have any current or previous injuries that may effect you during exercise? If YES please give any details below
Your answer
Are you taking any medication? Please give any details below
Your answer
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report
