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Personal Training Consult Sheet
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Email *
Name: *
Phone number
Personal Background: Tell us a little about yourself… Where do you live? Job? School? What are your other hobbies and activities? Provide as many relevant details as possible *
Goals: What are you looking to get out of coaching? Be as specific if possible -  SMART (specific, measurable, attainable, relevant, and timed) *
Exercise, Sport, or Physical Activity History (Par-Q): What is your training history, ex. athletic background, crossfit, none recently, etc?, List any training programs you followed *
Health History - Past or Present Injury, Disease, Pain, etc: Do you have any medical conditions that we should be aware of? (i.e. Asthma, etc) *
Pain during any exercises (that you know of)? Contraindicated exercises by a doctor/Physical Therapist?
Nutrition: on a scale from 1-10 with 1 being very unhealthily, and 10 being very healthy- how well do you think you eat? Do you track calories/macros? Provide any additional relevant details about your diet *
Schedule Availability: Contact method preference
How many days per week do you plan to work out?
How many of those days per week do you want to work with us?
Psychometric Measures: Perceived strengths and weaknesses in the gym (if known). I.e. weak bench press, strong back, etc. Provide as many relevant details as possible
What do you enjoy most when you go to the gym? Favorite lifts, types of workouts? Least favorite lifts or workouts?
Do you have any questions for us??
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