TITAN Fitness Consultation Form
Name:
*
Email / Phone
Best option for you to be contacted
Weight (KG):
Height (ft):
How did you hear about Titan Fitness?
Please Select
Instagram
Facebook
From a friend
Other
How comfortable do you feel in your own body?
TRAINING
1. How would you rate your gym knowledge and experience? 1 being no knowledge at all.
1
2
3
4
5
2. How would you describe your current health and fitness?
3. How often do you currently exercise? Skip to question 6 if you select the top option.
Please Select
I don't exercise at the moment
I exercise 1-2 times a week
I exercise 3-5 times a week
I exercise 6-7 times a week
4. Tell me a bit about your current training routine.
5. How often are you wanting to train with me a week? What days and times suit you best?
6. What do you enjoy doing and would like to see in your sessions/program?
7. What do you currently dislike, and would like to avoid if possible?
LIFESTYLE
1. How active is your job or day to day routine?
Sedentary - Work at a desk, or a job where you don't move much
Lightly Active - you work at a desk but paired with some movement
Moderately Active - fairly active job (e.g. teacher or nurse)
Very Active - Active job (e.g. manual labour)
2. How would you describe your nutritional and dietary knowledge? How much water do you drink daily?
3. Do you have any current injuries or health issues?
AIMS AND GOALS
1. What is/are your main motivating factor/s for working with a Personal Trainer?
2. What is your main goal / Is there anything you are working towards? E.g. wedding, holiday, competition etc.
3. What would you say is your biggest barrier to not achieving your goals to date?
Any additional information you'd like to add.
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