ASSESSMENT FORM
Please answer the following questions realistically. Your answers to the questions below are essential in order for me to design the right training program for you. Although this form may seem long, most questions are optional.
Personal Demographic Information
First Name: *
Your answer
Last Name: *
Your answer
What is your gender? *
What is your age? *
Your answer
What is your height? *
NOTE: Please indicate in INCHES
Your answer
What is your bodyweight? *
NOTE: Please indicate in POUNDS
Your answer
What is your occupation?
Your answer
Personal Contact Information
Preferred Contact Email: *
Gmail account recommended to easily share your workout program via Google Drive.
Your answer
Primary Phone Number:
xxx-xxx-xxxx
Your answer
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This form was created inside of Brian Danley Fitness.