Questionnaire
for Personal Training/Nutrition Clients
Name:
Contact
information: (phone, email)
Gender:
Age:
Height:
Current
weight:
Goal weight:
Body goal:
(EX: lose fat, gain muscle, gain weight, lose belly)
Fitness goal:
(EX: run a half-marathon, add muscle)
Health goal:
(EX: lower cholesterol)
Are you on a
specific time frame? (EX: I have a wedding in October)
Current
workout plan:
Hours/Days
you can commit to workout plan:
Time of day
you usually workout:
Where do you
work out (gym or home) and if at home do you have access to equipment and what
kind?
Food
Allergies or foods you refuse to eat:
Do you have
access to a kitchen?
Are you
willing to cook or do you want food that is easy to pack?
How many
meals a day can you eat based on your schedule? (I suggest anywhere from 4 to 7
per day)
Anything
else I will need to know when making your workout or nutrition plan?
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