QAVT Collegiate Program Questionnaire
Email address *
Name
Your answer
GOALS
What are your health and fitness goals?
How can we help?
Your answer
What are your strengths?
What is holding you back?
TRAINING HISTORY
What type of training have you done in the past?
Your answer
What role does sports and exercise currently play in your life?
Your answer
Where do you workout on campus?
Your answer
What is the specific name of the student facility on your campus?
Your answer
LIFESTYLE
What do you eat?
Your answer
Food Allergies/ Aversions
Your answer
Do you have any food cravings? If so, what?
Your answer
Do you have a history of disordered eating?
Do you over eat?
Do you drink alcohol?
HEALTH HISTORY
Any serious injuries or illnesses that would affect your physical activity?
Your answer
Please list any supplements or medications you are currently taking?
Your answer
Family Health History: Do you know of any blood relative who has or had:
Please add any other information you would like your trainer to know.
Your answer
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