Tele-Training Questionnaire
This form is thorough and should take between 10-15 minutes to complete. The reason for this questionnaire is to ensure we are able to provide you with the best possible virtual training experience and match you with the ideal trainer. Please answer all questions to the best of your ability and if you have any questions please feel free to reach out to us.
Which Tele-Training options and/or packages are you interested in? *
Basic Information
First Name *
Last Name *
Age *
Gender *
Height *
Weight *
Email Address *
Phone Number *
Are you a UVAC member? *
Questions About Working with A Trainer
Have you worked with a personal trainer before? *
Do you have a personal trainer preference? (If you have a specific trainer in mind, write their name in the other field. *
How often would you like to work with a trainer? *
What level of engagement with a trainer would you find useful? (Check all that apply) *
What are your goals/objectives for working with a trainer? *
What times are you available to meet virtually? *
What days are you available to meet virtually? *
Questions About Your Routine and Habits Before Covid-19
What was your perceived fitness level before Covid-19? *
Were you doing any of the following before Covid-19? *
What was the focus of your exercise/training before Covid-19? *
If you were/are training for an event or competition, please tell us about it.
How many days per week were you exercising/training before Covid-19? *
Roughly how long were your workouts? *
Briefly describe your routine before Covid-19? *
Questions About Your Current Routine and Habits
What is your current perceived fitness level? *
How many days per week are you exercising/training now? *
Roughly how long are your workouts now? *
Briefly describe your current routine and activities? *
This next portion of the Questionnaire is the PAR-Q. Please answer all of the questions honestly.
Do you have any medical conditions that impact exercise? If so, please explain. *
Has your doctor ever said that you have a heart condition and that you should only perform physical activity recommended by a doctor? *
Do you feel pain in your chest when you perform physical activity? *
In the past month, have you had chest pain when you were not performing any physical activity? *
Do you lose your balance because of dizziness or do you ever lose consciousness? *
Do you have a bone or joint problem that could be made worse by a change in your physical activity? *
Is your doctor currently prescribing any medication for your blood pressure or for a heart condition? *
Do you know of any other reason why you should not engage in physical activity? *
If you have answered “Yes” to one or more of the above questions, consult your physician before engaging in physical activity. Tell your physician which questions you answered “Yes” to. After a medical evaluation, seek advice from your physician on what type of activity is suitable for your current condition.
Questions About Home Gym and Exercise Space
Do you have any of the following exercise equipment available? (Check all that apply) *
Which of these statements best describes your current home gym situation? *
Please provide any other details or information about your available equipment or exercise space that you feel is pertinent and that a trainer might be able to leverage to enhance your routine. Such as room size, ceiling height, etc. *
Questions About Your Current Technology
Have you ever participated in a video chat before? *
Have you ever used any of the following video chat platforms? *
Do you have a device with a webcam such as a desktop computer, laptop, tablet, or smartphone capable of performing a video chat? *
Our trainers will be primarily using Zoom to perform virtual training sessions. Internet speed is important to ensure everyone has a consistent and stable virtual experience. Please perform an internet speed test using the following instructions and provide the results for download speed and upload speed:
Video chats require a minimum level of internet speed for a stable experience. Please test your internet speed on any device using any browser by following the instructions below.
What was the download speed of your internet speed test? (for example 50 mbps download)
What was the upload speed of your internet speed test? (for example 5 mbps upload)
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