Personal Training Background Information
I'm Stelianos Canallatos, a Personal Trainer, and I would like to thank you for taking the time to fill out this information.  Regular physical activity is fun and healthy, and increasingly more people are starting to become more active every day. Being more active is very safe for most people. However, some people should check with their doctor before they start becoming much more physically active.

Below you will find a list of questions to help me better assess your fitness goals.  Please fill out this form to the best of your ability.  You may skip questions if they request information you're unsure of.  I look very forward to meeting with you!
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Name: *
Date of Birth *
Phone Number *
Email Address *
Gender *
Height *
Weight *
Please check the line next to fitness goals that pertain to you.
What type of fitness activities interest you?
How much time are you willing to devote to an exercise program?
Minuets/Day & Day(s)/Week
What strength training equipment do you use?
Briefly describe your current training.
If you've previously weight trained, how many sets per muscle group do you perform?
Clear selection
If you're currently (or previously) weight trained, how many repetitions do you normally perform?
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Which areas of your physique do you emphasize during your workout?
Personal Health History
Please check all that apply to your past and present health.
Family History
Do you have a family history of any of the following:
Tobacco Use
Do you currently smoke?
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Perscriptions
Are you currently taking medication prescribed by a physician? If yes, what medications?
Nutritional Supplementation
Do you currently take any nutritional supplements or follow any special diet (i.e. vegetarian, low calorie, etc.)
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Work Activity
How do you spend most of your time at work (or at home)?
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Sleep
How many hours of sleep do you typically get?
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Stress
How well do you deal with stress?
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Energy Level
How would you rate your energy level?
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Goals
What are you're fitness goals?
Goals
What do you expect to achieve with a personal trainer?
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