JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Personal Training Application
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Name
*
Your answer
Age
*
Your answer
phone number
*
Your answer
What made you decide to work with a personal trainer?
*
Your answer
What is your current workout routine? If you do not have one put none.
*
Your answer
If you do currently exercise, would you say your routine is
*
Ineffective
Effective
Very Effective
Being clear on your personal goals is imperative. What are your top 3 fitness goals? I will use these as a tool in creating your program and partnering with you.
*
Your answer
On a scale of 1-10: How motivated are you to achieving your goals?
*
least
1
2
3
4
5
6
7
8
9
10
most
Do you have any current or past injuries that your trainer should know about?
*
Your answer
What, if any, are your expected barriers towards your exercise routine? (ex. long work hours, lack of facilities, time..)
*
Your answer
How many times per week do you eat 3 meals per day?
*
1-3
4-6
every day
Do you eat breakfast every day?
*
yes
no
more often than not
Do you struggle with nutrition? Please give details.
*
Your answer
How much water do you drink a day consistently?
*
Your answer
What is your current sleep schedule like? How many hours of sleep do you consistently get?
*
Your answer
How many hours a day do you spend on electronic devices? (computer/phone/tv)
*
Your answer
How many hours per day do you spend outside?
*
Your answer
Are you interested in guidance with nutrition and other aspects of your health outside of fitness.
yes
no
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report