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Lucid Motion - Personal Training Intake Form
Please fill out this Personal Training Intake Form to the best of your ability. This information will be used to fine tune your training plan. If you would like to conduct your workout plan questionnaire via phone or zoom conversation, please contact
LucidMotionFitness@gmail.com
.
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* Indicates required question
Email
*
Your email
How did you hear about Lucid Motion?
*
Instagram
USA Triathlon
Word of mouth
Yelp
Facebook
Other:
First & Last Name:
*
Your answer
Physical Address:
*
Your answer
Date of Birth:
*
Your answer
Preferred contact method
*
Phone
Email
Either are fine
Required
Which discipline(s) are you training for?
*
Triathlon
Running
Cycling
Mountain biking/gravel
General fitness/strength training
Other:
What is your athletic background? ie., sports played, recreational activities participated in, etc.
*
Your answer
Do you have a smart watch or heart rate tracking device? If so, which one?
*
Your answer
What is your current level of fitness?
Excellent (Exercises 5-7 times/week or 8-12 hours/week)
Good (Exercises 3-5 times/week or 5-7 hours/week)
Average (Exercises 2-3 times/week or 2-4 hours/week)
Below Average (Exercises 1 time/week or below 2 hours/week)
Poor (Has not exercised in longer than 2 months)
Clear selection
What resources do you have access to?
Gym
Treadmill
Pool
Bike
Stationary bike
Track
Local hill(s)
Exercise bands
Foam roller
Theragun
Kettle bells
Free weights
Exercise Ball (Big)
Medicine Ball
Other:
Please detail your current and/or previous injury history:
*
Your answer
What other physical or recreational activities do you engage in during your downtime?
Your answer
Questions and comments
Your answer
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