TRAINING PROGRAMMING CONSULTATION - JB TRAINING + NUTRITION - HIGHBAR
Welcome to your consultation questionnaire! Your responses are going to allow me to give you as comprehensive a service as possible, so answer in as much detail as you can.
Sign in to Google to save your progress. Learn more
Email *
Name
Date of Birth
MM
/
DD
/
YYYY
Gender
Clear selection
Current Bodyweight in kg or lbs (please specify)
Has your doctor ever said you have a heart condition and that you should only do physical activity as recommended by a doctor?
Clear selection
Do you feel pain in your chest when you do physical activity?
Clear selection
Do you feel pain in your chest when you do physical activity?
Clear selection
In the past month, have you had a chest pain when you were not doing physical activity?
Clear selection
Do you lose balance because of dizziness or do you ever lose consciousness?
Clear selection
Do you have a bone or joint problem (for example, back, knee or hip) that could be made worse by a change in your physical activity?
Clear selection
Is your doctor currently prescribing medication for your blood pressure or heart condition?
Clear selection
Do you know of any other reason why you should not do physical activity?
Clear selection
If you answered yes to any of the above, have you consulted with your doctor to clarify it's safe for you to become physically active and in your current state of health? If you answered no to all the previous questions, by selecting "yes" you confirm that it is safe for you to participate in physical activity.
Clear selection
What are your goals? Please write in as much detail as possible, giving time frames if applicable.
On average, how much sleep do you get per night? Do you feel rested upon waking?
Do you currently follow a training program? If so please outline in as much detail as possible. If you have it as a document you can forward it to james@jamesblanchard.co.uk
What do you do for your work/job?
How many times per week can you realistically train?
Do you have any limiting factors for your training? For example, are there certain days of the week that you can't train? Are you limited to train in just your lunch hour? Are there a differing number of days you can train each week?
Do you have any injuries or health issues that affect how you exercise? If so have you ever been told by a health professional (such as a physiotherapist or doctor) to avoid certain exercise(s)?
Do you have any other small niggles or injuries you have to work to stay on top of?
What training kit does your gym or home have available? Be as detailed as you can, especially with kit/machines you like to use.
Do you have any questions for me or anything you think I've missed that should be considered in the design of your program?
Have you ever worked with an online coach before? If so, what was your experience with them?
If you feel appropriate to your goals, before & after pictures are a great motivator and a useful tool for us both to check progress. Please send a whole body picture from a front, back and side view in as little clothing as you are comfortable with to james@jamesblanchard.co.uk
Thank you for taking the time to complete the consultation form. Your resources will land themselves in your inbox shortly, so keep your eyes peeled!
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy