Fitness Questionnaire
One on One Personal Training
Full Name *
Your answer
Email Address *
Your answer
Age *
Your answer
Current Weight *
Your answer
Height *
Your answer
Where do you live? (town and/or state) *
Your answer
Name of Occupation *
Your answer
Levels of Activity at work (sitting, standing, etc.) *
Your answer
Do you have the financial resources to commit on a high level to transform your fitness and health? *
Have you ever tracked your calorie intake before? *
What is your goal? (build muscle, lose weight, get healthier) *
Your answer
What's holding you back from your goals? Why do you want to hire a coach? *
Your answer
Are you ready to transform your body and commit to overall health? *
Why do you think you need a coach at this point in your journey? *
Your answer
Do you workout at-home or at a gym? *
If you workout at home, list the equipment you have, if any.
Your answer
What is your current fitness routine look like? *
Your answer
Do you have any pain performing certain exercises? OR Do you have any past injuries that need attention?
Your answer
Is there anything specific you want to work on?
Your answer
How many times per week can you commit to working out? *
Is it hard for you to find motivation on your own? *
Do you want to work with me.... *
Did anyone refer you to me? List their name!
Your answer
Any other info I need to know:
Your answer
Thank you for taking the time to fill out this questionnaire!
If you have any other immediate concerns, please contact me at quinnmcnicholas@gmail.com
Otherwise you will be contacted within 48-72 hours.
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