Online Client Intake Questionnaire
It's time to learn all about you, your bio as it were. The more I can learn, the better I can help. Naturally I don't need to know every thing about you but the following questions will help me in writing a program for you.

If you haven't already completed the exercise readiness questionnaire, please complete the quick form here:

The questions are in no particular order and not at all random.

Please answer to the best of your ability. If you need to tell me anything else, there will be a section at the end.
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Email *
Todays Date *
Full Name *
Date of Birth *
Best Contact telephone number *
Tell me about your exercise history, sports, PT, classes etc *
What is your occupation? *
Do you have any children / family commitments? *
Tell me about any former or current injuries, set-backs or limitations that affect your ability to exercise. *
What kind of exercise interests or intrigues you? *
Do you prefer counting reps or measuring movement quality? *
What fitness or health goals do you have? *
Will you be exercising at home or in a gym? *
How long do you prefer to exercise for in a single session? *
How would you describe your nutritional habits?
What equipment and space do you have at your disposal for exercise? *
What obstacles will get in the way of your training? *
What kind of accountability do you prefer? *
How many hours sleep do you get per night? *
Tell me about things you want to get better at (health, fitness, strength and such). *
Exercise you most dislike? *
What's your favourite exercise? *
What's your most energetic day of the week? *
How many days a week are you prepared to practice strength and fitness (train)? *
If you have followed online PT or programs in the past, how did it go? *
Phew, that's it. Well done. You can rest now but, if you would like to add anything else, please use the space below.
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