Name
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First Name
Last Name
Age
Height
Weight
Gender identity
Email
*
Phone
*
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Instagram Handle
1. How did you hear about me?
2. What is your availability for a phone consult?
3. What are your short-term fitness and physique goals?
4. What are your long-term fitness and physique goals?
5. What’s your daily nutrition like?
6. Have you ever been on a diet?
7. Do you have any prior or current injuries?
8. What is your daily activity level? (e.g., do you work at a computer, are you on your feet all day, etc.)
9. What is your exercise history? (e.g., CrossFit, HIIT, Yoga, Pilates, Spin, Weight Lifting, etc.)
10. Are there certain exercises you like? Are there certain exercises you want to avoid?
11. Do you like lifting heavy or do you prefer lighter weight and higher reps?
12. How many days a week do you like to train?
13. Are there certain areas of your body that you want to develop? Or, not develop?
14. Do you have specific strength goals? (e.g., bodyweight squat, chin-up, barbell hip thrust 225 lbs, etc.)
15. What time do you like to workout, morning, afternoon, or evening? Do you train at the gym or at home?
16. If you workout at home, what equipment do you have access to?
17. If you’re local and interested in personal training in person, what is your availability and do you prefer individual or group?
