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Consultation Questionnaire
If you can please take a moment to fill this out so I can learn more about you to ensure I can meet your needs fully :)
In advance, thank you so much for taking the time to share a few things about yourself with me! It is greatly appreciated and I so look forward to connecting with you further! Sending you so much love!
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Full Name
*
Your answer
Email
*
Your answer
Contact name & number in case of emergency:
*
Your answer
DOB
*
MM
/
DD
/
YYYY
Height
*
Your answer
Current Weight
*
Your answer
Approximately how long at this current weight?
Your answer
Goal Weight
Your answer
Describe the bigger vision you have for yourself/Overall desired goal
Your answer
What do you do for a living?
Your answer
What is the activity level at your job?
Minimal (seated only)
Moderate (light activity such as walking)
High (heavy labor, very active)
Other:
Clear selection
If you have any diagnosed health problems please list the condition(s)
Your answer
If you are on any medications, please list them
Your answer
If you have any injuries, please list them
Your answer
Are you experiencing any stresses or motivational struggles?
Your answer
Current activity / workout regimen:
Your answer
Do you have access to a gym?
Your answer
What is your preferred style(s) / methods of working out / physical activity? (What types of exercises interest you the most?)
Your answer
Your current diet could be best characterized as:
Low-fat
Low-carb
High-protein
Vegetarian/Vegan
No special diet
Other:
Have you ever had a personal trainer or coach before, if so - what did you like most about working with them? What didn't quite land for you?
Your answer
What's working really well in your personal health journey right now?
Your answer
Describe what you would like to accomplish through your fitness program with me:
Your answer
How often are you willing to train a week to reach your goal?
Your answer
Which personal fitness training service are you currently interested? (In person sessions are located in Pflugerville, Texas)
*
1:1 In Person
Remote Training
Required
Anything else you would like to share with me? :)
Your answer
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