Tyr Fitness Personal Training Application

Email address *
Name *
Your answer
Phone: *
Your answer
Age *
Your answer
Which service(s) are you interested in or would like to know more about? Why?
Your answer
Tell me about any chronic pain or medical conditions that affect how you move, feel, get through life. I don't need to know if you've had your tonsils taken out, but I also need to know if you have back pain. (Yes, it still counts if it has hurt for ten years and you think it's just how things are.) *
Your answer
Do you smoke? Don't worry, no judgments here.
In general how many hours of sleep do you get a night?
Describe your job
How high is your stress level?
Basset Hound. All is well.
Daffy Duck. I can't take much more!
Are you exercising regularly? (2-3 times a week for 3 months)
When did you first start thinking about getting into shape?
Your answer
What are the barriers that have been stopping you?
Your answer
Tell me about your exercise history
What do you want most from fitness training? *
Why is this your goal? There are no wrong answers. *
Your answer
What has been the biggest obstacle stopping you from meeting this goal?
Your answer
Rate your nutrition
Snickers and a Diet Coke.
I know what my macros are and hit them on target every day. (If you know what "macros" are then you award a bonus point.)
How many glasses of water a day? Guesstimate if you need to.
Your answer
Do you feel drops in your energy levels throughout the day?
At work or school, do you usually
Besides hunger, what other reason(s) do you eat?
Do you eat past the point of fullness?
Do you eat foods high in fat and sugar?
List 3 areas of your Nutrition you would like to improve:
Your answer
Realistically, how many days a week would you like to exercise? *
Which days could you commit to for exercise? *
How committed are you to achieving your fitness goals? *
What do you think the most important thing I can do to help you achieve your fitness goals?
Your answer
Outline what you feel are the obstacles or your potential actions, behaviors or activities that could impede your progress towards accomplishing your goals (i.e. not training consistently, upcoming vacation, busy season at work, not following the program, allowing other responsibilities to become a priority over exercise etc.). *
Your answer
How can I motivate you? *
Your answer
What's your favorite book or movie?
Your answer
What's your dream vacation?
Your answer
A year from now what do you most want to be able to celebrate?
Your answer
Talk to me about whatever. If there is something I need to know but didn't ask tell me all about it
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