Boston Personal Training Questionnaire
Sign in to Google to save your progress. Learn more
GENERAL INFORMATION
Your Name *
Phone Number *
Email Address *
Preferred Method of Communication *
EBF Location *
Required
What times work for you?
What are you fitness goals?
What would you like to achieve during your session?
MEDICAL INFORMATION
Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor? *
Do you feel pain in your chest when you do physical activity? *
In the past month, have you had chest pain when you were not doing physical activity? *
Do you lose your balance because of dizziness or do you ever lose consciousness? *
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? *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of EverybodyFights. Report Abuse