Personal Training Questionnaire

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Please take a few moments to fill out this questionnaire to help us understand your current fitness level and goals. Your responses will assist our trainers in tailoring a program specifically for you. Please note that unless you are a member of Iron City Gym use of the gym outside of training sessions is prohibited.

Email *

How did you find out about our personal training program? *

If you checked referral by member or recruitment by trainer, please specify who below. *

What is your first and last name? *

Best way to contact you *

Phone

Text

Email *

Phone umber

May we text you? *

Yes

What is your age group?

12-19

20-30

31-40

41-50

51-60+

Clear selection

What sex are you? *

Male

Female

For the male, please choose which body type best describes you now.

6-7%

20%

40%

35%

10-12%

15%

25%

30%

3-4%

For the female, please choose which body type best describes you now.

10-12%

12-17%

20-22%

25%

30%

35%

40%

45%

50%

Clear selection

8. What are your primary fitness goals?

Weight Loss

Muscle Gain

Improved endurance

Improved Mobility

Strength

Need Accountability

Stress Relief

Would like to Compete in a bodybuilding show

Other:

Current activity level

0-1 days a week

2-3 days a week

4-5 days a week

6-7 days a week

Clear selection

Describe your typical physical activity.

Walking

Running

Cycling

Cross Fit

Weightlifting

Yoga

Other:

Clear selection

Do you have special needs or recovering from an injury. Please specify

What time of day do you prefer to workout?

Morning

Afternoon

Evening

Clear selection

Do you prefer a male or female trainer?

Male

Female

Clear selection

A copy of your responses will be emailed to the address you provided.

Submit

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