JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Personal Training Intake Form
This is an
assessment form so I can learn more about YOU and what you're looking for during our time together. Please be honest and open! The more I know, the more I can help you.
*
Please note I only work with women.
*
Please check your Spam folder for my email response.
* Indicates required question
Email
*
Record my email address with my response
Hello! What is your full name & age?
*
Your answer
What are your SHORT term goals (within the next 6 months or so) ?
*
Your answer
What are your LONG term health/fitness goals
(6 months +)?
*
Your answer
What has stopped you from achieving these goals in the past? (or maybe you have and then reverted back) tell me about that!
Your answer
Would you say you are sedentary for most of the day or active on your feet?!
Your answer
Are you currently exercising? If so, please write down your current weekly routine! For example, (M,TH: strength training, T,W: 30 minutes cardio etc)
*
Your answer
What is your past exercise history and any injuries I should be aware of)
Your answer
Do you have any experience with strength training?! (my favorite!!)
Your answer
Have you ever worked with a personal trainer before?
If so, when? Was it enjoyable? Why or why not?
Your answer
Now for the FUN STUFF!! What is your favourite dessert?
I have many but chocolate is probably my favourite!
Your answer
Any other information you'd like to share with me?
Your answer
I'm looking forward to reading your application. Thank you! Nancy
Please check your SPAM folder, if you don't see my email response within 2-3 days. You can also email me at: Train2TransformFitness@gmail.com
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