QAVT Collegiate Program Questionnaire
Email address *
Your answer
What are your health and fitness goals?
How can we help?
Your answer
What are your strengths?
What is holding you back?
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?
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What do you eat?
Your answer
Food Allergies/ Aversions
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Do you have any food cravings? If so, what?
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Do you have a history of disordered eating?
Do you over eat?
Do you drink alcohol?
Any serious injuries or illnesses that would affect your physical activity?
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Please list any supplements or medications you are currently taking?
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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.
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