Personal Training Questionnaire

Request edit access

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Not sure if Personal training is right for you? Fill out the questionnaire to find out..

This could be the start of your journey towards a healthier, happier life.

Email *

What is your full name? *

Phone number *

Have you ever trained before? *

Please select all relevant options. I have/do...

Never trained

Hike/walk

Endurance training (Running/cycling/swimming/triathlon etc)

Gym (Basic weightlifting training)

Calisthenics (Body weight/gymnastics training)

Olympic weightlifting

CrossFit

A sport (please state in "other")

Other:

Required

What is your current weekly activity level?
*

Sedentary (office job/work from home)

Light activity (walk/bike to work)

Moderate activity (gym/run/bike etc up to 3 times a week)

High activity (gym/run/bike etc 3+ times a week)

Other:

Required

Do you have any current or existing long-(or short-)term injuries?

Please give as much information as possible

Are you currently on any medication?

If yes, state in the "other" option.

Yes

Other:

Clear selection

What is your main fitness goal?
*

Lose weight (eg lose fat)

Gain weight (eg gain muscle)

Improve strength

Improve endurance

Improve another aspect of fitness (eg flexibility/power/coordination/agility/balance/accuracy)

Improve a specific movement (eg squats/deadlifts/pull ups)

Improve your nutrition

Other:

Why is this goal important to you?

What will achieving this goal do for you (eg improve your confidence, allow you to play with your kids)? Be as specific as possible.

Realistically, given your current knowledge, how quickly do you think you can achieve your goal?

Within a month

Within 3 months

Within 6 months

Within 12 months

Within 2 years

Other:

Clear selection

If you don't start making progress with this goal immediately, how will it effect you?

It won't effect me

I'll be unhappy until I start the process

I'm worried I won't see progress fast enough and lose interest/motivation

Other:

Clear selection

Are any other goals important to you?

Lose weight (eg lose fat)

Gain weight (eg gain muscle)

Improve strength

Improve endurance

Improve another aspect of fitness (eg flexibility/power/coordination/agility/balance/accuracy)

Improve a specific movement (eg squats/deadlifts/pull ups)

Improve your nutrition

Other:

What is your employment status? *

Employed full time

Employed part time

Self employed

Unemployed

Retired

Student

Other:

What is/was your occupation?

Do you have any "positive" lifestyle habits? *

Note: This is a subjective topic, there are no right or wrong answers (everyone is different). This question is here because it is provides me an insight into your current mindset and what you categorise as "positive" habits FOR YOU.

Eg you get enough sleep regularly, eat a balanced diet, spend lots of time with friends/family, meditate, read regularly, walk outside daily etc

Rate your current stress from 0 to 10 on a day to day basis.
*

Nothing in life stresses me

I feel constantly extremely stressed

Do you have any "negative" lifestyle habits? *

Eg you don't get enough sleep regularly, drink excessively, smoke, eat junk food excessively, have large amounts of "screen-time" (3+ hours a day on your phone/watching tv) etc

To the nearest hour, how many hours of sleep do you get a night?
*

Less than 5 hours

5 to 6 hours

7 hours

8 to 9 hours

10+ hours

Other:

Do you know how many calories (on average) you eat per day? *

Yes

I don't know, but I could work it out if needed to

Other:

Do you know how much protein (on average) you eat daily? *

Yes

I don't know, but I could work it out if I needed to

Other:

How much water (on average) do you drink daily? *

Less than 2 pints

2 to 4 pints

5 to 7 pints

8 pints

9+ pints

Other:

How long per day do you spend on your phone/watching tv? *

0 hours

Less than 1 hour

Less than 2 hours

Less than 3 hours

3+ hours

Other:

Send me a copy of my responses.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of Strong Will Coaching.

Does this form look suspicious? Report

Forms