Personal Training Questionnaire
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Name *
Email *
Phone *
Address *
Age *
Weight *
Gender
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Has your doctor given you permission to exercise?
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Are you taking any medications, and if so, what are the side effects associated with them?
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Have you ever been told by a physician that you have heart disease, high blood pressure, or any metabolic disease?
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What are your goals for personal training?
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What does your diet look like, and what kind of foods do you eat in a typical day?
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How much time are you willing to dedicate to personal training?
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Have you worked out with a trainer before, and if so, what were the results?
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Do you have any existing or previous injuries?
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How many hours of sleep do you get every night?
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Current and past fitness history
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Medical and past/current injury history (related to exercise and nutrition)
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Where they will be performing the workouts you prescribe
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What type of equipment they will have access too (I provide boxes they can check off from the main pieces of equipment I like clients using in their programs)
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Client goals (ask short-term and long-term)
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Work life (job type, hours they work each week etc)
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Social life (how many times they eat out each week etc.)
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How many days per week they can commit to exercising and how much time they have to commit to each workout
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What days of the week they would like to do their workouts (I use this when so that I can just go ahead and schedule their workouts right into their calendar without having to ask again)
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This form was created inside of IMT.