Registration Form. Synergy Fitness
It is a 4 section form. Please answer all the questions in a convenient to you way. Please share with me only what you feel comfortable to share. Thank you for your time spent on filling this questionnaire. I really appreciate it and it helps me to prepare better for our session. See you soon. Coach Lucy
Sign in to Google to save your progress. Learn more
Email *
How did you learn about us? *
First and last name *
Phone number *
Date of birth *
MM
/
DD
/
YYYY
Height *
Emergency contact - phone number *
Your Personal Training schedule. When would you like to start? What days and times work best for you? *
What is your fitness goal? *
What is your fitness / sport background? *
What is your favourite form of physical activity? *
Do you partake in any recreational activities (golf, skiing, etc.)? YES/NO? (If yes, please explain.) *
Do you have any hobbies (reading, gardening, working on cars, etc.)? YES/NO? (If yes, please explain.) *
Please describe shortly your sleep quality. Do you easily fall asleep? Do you wake up at night? Do you wake up rested in the morning *
Please describe shortly your diet and nutrition habits. What do you usually eat? Do you have food cravings? Is there a space for any improvement in your diet? *
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy