Personal Training Client Consultation Questionnaire Name * First Name Last Name Email * Phone (###) ### #### Gender * Male Female Age * Height * Current Weight * Goal Weight * What is your current fitness level? * New (1 year or less) Intermediate (1 to 3 years) Advanced (4 years or more) What would say your biggest goals are you would like to achieve? * What would you consider to be your biggest obstacles that have made it difficult to achieve these goals? * Have you ever worked with a personal trainer? * Yes No If yes, please share your experience. How many days per week are you currently exercising? * What are you currently doing for your workouts? * Do you workout at the gym or from home? * Gym Home For in-person/home training, what time during the day do you prefer to train? Do you have any current or past injuries? If yes, please list all and if still dealing with pain. * Do you have any health issues and take medication? * I understand that I am committing myself to me. I am ready to make my goals a priority in my life. The time and effort I put into this is what I will get out of it. Motivation can only take us so far and the lack of motivation is something that we all struggle with at times. This is where your mindset and discipline has to kick in and override any negative thoughts or unwillingness to get up and move our bodies. Setting achievable, daily goals, staying consistent, shifting your mindset to new ways of thinking will be a big driver for reaching your goals. And as your trainer, I'm fully committed to you and your success. We are a team, lets go reach these goals! * I'm ready, lets go! Commitment is scary, I cant promise anything Thank you!